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Apply for Coaching: Build a Plan Aligned With Your Life

Full Name

Email Address

Phone Number

Age

What is your current occupation (full time job, college student, etc)

How many hours of sleep do you get per night?

How would you rate your energy levels?

How would you rate your energy levels?

How would you describe your fitness levels

How would you describe your fitness levels?

How would you describe your fitness levels?
A
B
C

How would you describe your relationship with fitness?

How would you describe your relationship with fitness?
A
B
C
D

How would you describe your relationship with food and nutrition?

What is your main focus?

What is your main focus?

What are you currently struggling with when it comes to your health, nutrition, or fitness?

Which areas do you need most support with?

Which areas do you need most support with?

What obstacles have made it difficult to reach your goals?

How would you describe your current eating habits?

How is your digestion currently? (bloating, sensitivities, regularity)

Are you currently taking any medication or supplements? (If yes, please specify)

What are your top 5 goals (fitness, nutrition, health)

Why are these goals important to you right now?

What type of coaching are you most interested in?

What type of coaching are you most interested in?

Is there anything else you would like me to know?

What are you most excited for if we start working together?

What level of investment feels aligned for you right now?
(This helps me guide you to the best-fit program for your goals.)

What level of investment feels aligned for you right now?(This helps me guide you to the best-fit program for your goals.)