Be Empowered Fitness 8 Week Challenge Application
Interested in joining the 8 week challenge? Fill out the information below to get started!
Name
First Name
Last Name
Email
example@example.com
Height
feet' inches"
Weight
Pounds
How often do you weigh yourself? How important is that number on the scale?
Be honest.
What are your short term fitness goals (in the next 6-8 weeks for this challenge)?
please be as specific as possible
What are your long term fitness goals (in the next year and beyond)?
Long term results require long term goals
What are your expectations of this challenge and of me as your coach through this challenge?
Please be as specific as possible - this is to insure that this challenge will be the right fit for you.
Have you ever had a coach/trainer? If you have, tell me about that.
What do you like to do for yourself?
What do you think makes you a great candidate for this challenge?
The following questions will be beneficial for me to know as we move into this challenge
Are you currently working out?
yes
no
kind of?
If you are (yes/kind of) working out, what plan are you following/what are you doing?
Please be as specific as possible.
Do you understand counting macros (IIFYM)? Are you currently counting macros?
it's OK if the answer to this is no.
Do you understand that tracking your macronutrients and weighing your food is highly recommended for optimal results?
yes
no
Have you ever had an eating disorder (diagnosed)? Do you deal with disordered eating patterns such as restrict/binge, extreme low carb, high carb, etc? Please tell me about this - there is no judgement here. Honesty and openness is essential to a good trainer/client relationship.
Do you have any injuries/medical conditions I should know about? Please explain.
Are you pregnant?
Are you nursing?
What does a "normal" food day look like for you?
Are you low carb/no carb?
Please understand that I will not give you a low/no carb diet.
Does your significant other/family support your health and fitness goals?
Please add any questions, comments, concerns you have here.
Submit
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