Application for Coaching

Full Name

Instagram Handle *

Phone *

Email *

Height

Current Weight

Which best describes your nutrition for the last 30 days? *

If you know your Macros/Calories please list them out here. If you do not list out what an average day of meals look like. Please be as honest as possible so that I can help you accurately.

How many times a week are you currently Weight Training? Style of Training? What is your current split??

What is the PRIMARY outcome you're looking to achieve with the help of a coach? *

I want to lose fat

I want to build muscle/improve body composition

I want to improve performance

I want to build better habits/change my lifestyle

What is the SECONDARY outcome you're looking to achieve with the help of a coach? *

I want to lose fat

I want to build muscle/improve body composition

I want to improve my performance.

I want to build better habits/change my lifestyle.

What is the biggest obstacle in your life that has been preventing you from seeing results so far? *

What is your commitment level to your personal results? *

1. I’m extremely committed. I’m sick of how I feel, and I will do whatever it takes.

2. I’m committed enough to invest in my goals but I’m afraid of “missing out” on social events.

3. I know I need help to make a change but I’m not sure if I’m ready to fully commit.

What is it you are looking to gain from having a coach? *

Have you been diagnosed with an eating disorder? *

Anything else you'd like to add before booking?

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