The Mav Method Application

1
What's your name?* This field is required.
First Name
Last Name
2
What's the best number to reach you at?* This field is required.
Please enter a valid phone number.
3
What's your email* This field is required.
example@example.com
4
Where are you located?* This field is required.
5
Your PERSONAL Facebook Profile OR Instagram Handle:* This field is required.
6
What's your age?* This field is required.
7
What's your height? (feet)* This field is required.
8
What's your current weight? (pounds)* This field is required.
9
How long have you been following Maverick Online Coaching?* This field is required.
6 Months
6 Months to a year
More than a year
10
What is your number one struggle right now and how has it been holding you back from achieving your goals?* This field is required.
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Ok
11
How many days do you currently exercise?
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Do you have current or past injuries?* This field is required.
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Ok
Ok
13
Where do you currently train?* This field is required.
Gym
Home
Home right now because of COVID-19
14
How many steps do you average per day?* This field is required.
15
Provide a typical full day of eating, including beverages and supplements. Explain what you eat, including portion sizes for each food item and when you eat.* This field is required.This needs to be a real day of eating. Include junk food if you regularly consume it.
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Ok
16
How often do you eat out each week?* This field is required.
None
1x
2x
3x
4x
5x
6x
7x or more
17
What do you usually eat when you go out for food?* This field is required.
18
What are your favorite foods?* This field is required.
19
Do you have any food allergies and/or food intolerances?* This field is required.
20
Do you smoke regularly?* This field is required.
21
Do you drink alcohol regularly?* This field is required.
22
What is your occupation?* This field is required.
23
What is your WHY and PURPOSE for wanting to make these changes to your health and lifestyle?* This field is required.
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Ok
24
On a scale of 1-10, how serious are you in making a change and achieving your fitness goals?* This field is required.
1
2
3
4
5
6
7
8
9
10
25
Are you 100% willing to commit to the plan to achieve your goals?* This field is required.
26
What are you looking to gain from this coaching experience?* This field is required.
27
Why do you want to work with us? Our coaching program is not a cheap "cookie-cutter" or "one size fits all" program. It's hands-on 1-to-1 coaching tailored to your specific goals and needs. Are you willing to invest in yourself and hire a coach?* This field is required.
28
Type a question* This field is required.
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Ok
29
If you are accepted, how soon can you get started?* This field is required.
30
How did you hear about our services?* This field is required.
Facebook
Instagram
Tik Tok
Television
Friend
Other
31
Who else would benefit from doing this program with you?
32
Do you have any other questions or want to tell me anything else about you?
Should be Empty: