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1:1 Online Coaching Application

About You

Name

Age

Email Address

Phone Number

Your Goals + Health

Current Height

Current Weight

What are your primary fitness goals?

What are your primary fitness goals?

What is your current fitness level?

Do you have any injuries, health conditions or a diagnosis I should be aware of? (Previous surgeries, PMOS/PCOS, thyroid, etc.)

How many days per week can you train?

Why are you looking to start coaching right now, or what are you struggling with most?

What has held you back from reaching your goals in the past?

What are your current dietary preferences or restrictions?

Do you have any food allergies or intolerances?

Do you currently track your macros or calories? If yes, what tool do you use?

How would you describe your current relationship with food?

How did you hear about me?

Commitment

Are you willing to invest $10/day in your health and fitness?

Are you willing to invest $10/day in your health and fitness?
A
B
Coaching is a 3-month minimum commitment. I want to make sure every person who joins is prepared. That means being financially and mentally ready to show up for yourself. My coaching is educational and supportive. I do not diagnose or treat medical conditions. You must be 18 years or older to apply.

Please upload a current photo of your physique