MM Physiques Lifestyle Coaching Application
If you have made it to this form you are inquiring about lifestyle coaching. This form is to let Team MM know a little bit about you, your previous history, current goals, & readiness to commit. We will chat and see if we are a good fit to work together! Can’t wait to hear about who you are, where you are coming from, and what is driving you to reach your goals.
Name
First Name
Last Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Age
Occupation
Instagram
Where do you feel you are currently at with your goals?
Haven't started
1-2 months in
3-5 months in
6+ months in
What is your current weight training experience?
Novice
Beginner
Mid-Level
Experienced
What is your current relationship with food?
I have a positive relationship with food.
I eat but sometimes I feel guilty afterwards.
I restrict myself from eating the foods I want.
I have a negative relationship with food.
What is your current relationship with the scale?
Positive
Negative
Postive/Negative
N/A
What are your top 3 goals? Muscle growth, fat loss, positive relationship with food, confidence etc. Be specific, they don't all have to be physical!
Have you tried anything in the past to reach these goals? If so, what were they? Did they work for you? What did or didn't you like about them? Was it sustainable?
What is currently keeping you from reaching these goals on your own?
What will happen if you continue to live your current lifestyle when it comes to achieving your goals?
What would you expect from me as your coach if we work together?
On a scale of 1-10, 1 being content with where you are, 10 being you really want to make a change. Where do you fall on the scale?
1
2
3
4
5
6
7
8
9
10
1 is , 10 is
On a scale of 1-10, how badly do you want to reach your goals? (10 being you are 100% ready to make a change).
1
2
3
4
5
6
7
8
9
10
1 is , 10 is
If you had to put a dollar amount on it, how much is your own physical/mental health & wellness worth to you per week?
On average how much do you spend on coffee & eating out per day?
Team MM is ready to work with those who ready to invest in themselves, their goals, and creating their new lifestyle. Are you ready to finically invest in yourself?
Yes
No
Are you willing to invest $275+/month in yourself to achieve your truest, most confident, and healthiest self?
Yes, $10/day is worth it for me to reach my health & wellness goals
No, $10/day is a bit out of budget for me to reach my health & wellness goals
When you think about NOT investing in your own health & wellness how does it make you feel?
When you think about ACTUALLY investing in your own health & wellness how does it make you feel?
What is keeping you from making a change to help you reach your truest most confident self? Is it a fear of having to "give up" parts of your current lifestyle? Fear of failing? Fear of sacrifice? What fears arise when thinking about making a change? If you have no fears, put "nothing is stopping me"
"When something scares you, it is probably a sign that you are meant to go through with it."
If you keep living your current lifestyle where do you think you will be 6 months, 2 years, or even 5 years from now?
After our call, if we both feel we are a good fit to work together are you ready RIGHT NOW to make a change and start to uncover your truest most confident self?
YES!
No.
If Team MM is a great fit, how soon are you looking to get started?
ASAP
In 2 weeks
Next month
Just looking for more info right now
Please Choose Your Preferred Coach :
*
Megan Lewis
Megan Lakes
Either
How did you hear about Team MM?
Any final thoughts or questions you would like me to know going into our call together?
Submit
Should be Empty: