Coaching Application
Name
Address
Email
Phone
Instagram Tag (if you are on IG)
How old are you?
How tall are you?
How much do you currently weigh?
Tell me about yourself. Hobbies, family, work and any thing unique about you!
What do you feel is holding you back from reaching your goals?
What are your short term health/fitness goals? Please be specific
What are your long term health/fitness goals? Please be specific
In the last two years, how much time would you say you've spent attempting to diet?
How do you mentally feel around the subjects of food, exercise, and dieting? What are your fears and frustrations?
On a scale of 1-10 how Committed are you to achieving your goals?
Are you willing to commit at least 1 year to yourself, your health, your goals, and to creating new habits?
Do you have the time and resources to commit to your goals?
Do you have any health limitations or injuries?
Are you currently taking any medications or supplements?
Females; Do you have a regular menstrual cycle?
What does your current routine with food and workouts look like?
Realistically, how much time do you have on a daily basis to put into your workouts?
Do you have experience with weight training?
Do you workout at home or at the gym?
One last question. How did you hear about my coaching program?
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