Name
First Name
Last Name
Email
example@example.com
Age
Weight
Height
Do you have a gym membership?
Are you looking for one-on-one coaching, macro coaching or just a custom training plan?
One on One Coaching
Macro Coaching
Custom Workout Plan
Other
How would you describe your daily activity levels including your current training regimen, if you have one?
Please describe your past and current nutrition/diet regimen.
Do you currently or have you struggled with disordered eating in the past?
Do you have any injuries or health issues? Are you on any medications?
What are your stress levels and sleep habits like?
What are your main goals? Please note anything you feel has been or is a hindrance to striving toward them.
How many days or how much time per week can you dedicate to working out?
Do you feel supported in your home and/or work environment when it comes to striving toward your goals?
High level coaching requires an investment -physically, emotionally and financially. Are you ready to invest in yourself and your health?
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