Please Fill Out The Application Below For 1:1 Fitness & Nutrition Coaching.

First Name *

Last Name *

Email *

Phone *

Instagram Handle/Name

Age? *

Occupation? (Where do you work? Desk job? Active job? etc.) *

What are your specific health & fitness goals? (Please select all that apply and provide details)

Explain to us WHY. What is driving you to make these changes? How will achieving these goals impact your life? *

What has kept you from achieving your goals so far? (Select all that apply)

What have you tried in the past to achieve your health and fitness goals? Why do you think these attempts were unsuccessful?

What does success look like to you in 3 months? 6 months? 1 year?

Do you have an experience with tracking macros?

Yes, I have tracked for a long time

I am familiar and want to learn, but have never tracked

I just started

I tried and it didn't work for me

I am unfamiliar with macros

I am not interested in macros

What would you expect from your 1:1 coach if we decide to work together? What type of support do you feel you need most? *

Is there anything else you'd like to share or discuss related to your fitness journey or goals?

On a scale of 1-5, how ready / committed are you to changing your life right now? (1 being "not ready at all" and 5 being "I'll do anything to change my life") *

Does your spouse or significant other support you? (Meaning they will give you a thumbs up on whatever you decide)

Yes, I have a significant other and they are super supportive.

Yes, I have a significant other but this is my decision to make.

Yes, I have a significant other but they may need to be on the call with me to make a joint decision.

No, I am single and do what I want, lol

If we decide to work together, do you plan to use a HSA/FSA account for pay for coaching?

NEXT STEPS.... I will review your application and IF I feel like I can truly help you out would you be open to setting up a zoom call so we can run you through the details of how our coaching program works? *

Yes plz! I am READY to make a change

No thanks, I don't want 1:1 help I can do it on my own.

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We Will Review Your Application And We Will Be In Touch For Next Steps.