Application

1
What's your name?* This field is required.
First Name
Last Name
2
Email* This field is required.
example@example.com
3
Phone Number* This field is required.If your application is approved, you will hear from our team within 24-48 hours going over your next steps to get started. Please leave the correct number.
Area Code
Phone Number
4
What is your gender?* This field is required.
Male
Female
5
Where do you live?* This field is required.Fuel Yours Gym is located at: 8007 E Roosevelt St, Scottsdale, AZ
6
What is your current occupation, and how long have you been doing it?* This field is required.One of the biggest things we take into consideration is your day to day lifestyle. From how active you are, to how much stress you endure, and the level of responsibility you have to take on. This helps us understand hot to seamlessly integrate our program into your lifestyle.
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What is your Instagram handle?* This field is required.
8
How old are you?* This field is required.
9
Which of the following best describes your goal with Fuel Yours Gym?
I have big goals like developing an elite physique or becoming a high performing athlete and I'm looking to begin my journey and have an enjoyable experience.
I am someone who LOVES fitness already and is looking for a community/coach who can take me to the next level.
I am a leader in my own way (husband, wife, coach, executive, mom, or dad) and I understand that I cannot pour from an empty cup. Even leaders need leaders. I am hoping to become educated from Nicole, so I can become the best example for those I care for.
I am newer to all of this but I am not afraid to learn, get uncomfortable, and surround myself with others who can bring out the best of me. I want to see a version of myself that I've never seen before.
No idea, but I am certain that I need to invest in myself and put myself first right now. For my health, not just physically but mentally and emotionally.
10
Please elaborate on your goal. Share anything that would be valuable for us to understand about yourself, the results you want to create, and why they're important to you.* This field is required.Please be as detailed as possible. The more clear you are here the better we cans serve you. .
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What is the biggest obstacle holding you back from reaching that goal?* This field is required.Please be as detailed as possible, the more clear you are the better we can help you.
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12
Please rate your experience with barbell strength training.* This field is required.
Beginner: 0-2 years of consistent training
Intermediate: 2-5 years of consistent training
Advanced: 5+ years of consistent training
13
Have you ever tracked calories or macronutrients before?* This field is required.
YESNO
14
Have you ever worked with a personal trainer or online fitness coach before?* This field is required.
YESNO
15
If we could guarantee your results in half the time, how committed are you to investing physically, emotionally, and financially to achieve your goals?* This field is required.
I have the financial resources and will do anything to work with Fuel Yours.
My budget is tight, but if the program is guaranteed to get me results then I am committed!
I do not have the financial resources.
I want to work exclusively 1:1 w/ Nicole (I recognize these spots are very limited & not cheap, but I only want to work with Nicole throughout this process.)
16
Do you have a significant other? If so, are they supportive of you potentially investing in your weight loss, health, and personal growth?* This field is required.
Yes, I have a significant other and they are EXCITED for me to be here.
Yes, I have a significant other. They support my goals and they may need to be on the call with me to make a decision.
Yes, and this is my decision to make!
No- I'm doing this for me!
17
How did you hear about Fuel Yours Gym?* This field is required.
Referral
Instagram
Google
Walk By
Flyer
18
Are you applying to become an online client or in person client at Nicole's gym?* This field is required.
In Person Small Group Training
1 on 1 Private Coaching (Limited Spots)
Online Coaching
1 on 1 Nutrition Coaching (Limited Spots)
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What makes you interested in working with Fuel Yours Gym, specifically?* This field is required.
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