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
How old are you?
5
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.
6
What is the biggest obstacle holding you back from reaching that goal?Please be as detailed as possible, the more clear you are the better we can help you.
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7
If we could guarantee your results in half the time, how committed are you to investing physically, emotionally, and financially to achieve your goals?
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.)
8
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!
9
How did you hear about Fuel Yours Gym?* This field is required.
Referral
Instagram
Google
Walk By
Flyer
10
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)
11
What makes you interested in working with Fuel Yours Gym, specifically?
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