CH FITNESS Coaching Application

1
Courtney is looking for *serious* clients that are ready and willing to commit to this journey and nurturing the coaching relationship. If you are not 100% ready to grow and evolve, or receive tough love when needed, and if you are not 100% willing to begin believing in yourself and all the ways you CAN accomplish your goals (instead of why you "can't") then this is not the coach for you.* This field is required.
I am 110% ready and willing to commit to Courtney, this journey, and most importantly, MYSELF
I am just looking for a quick fix
2
What is you full name?* This field is required.
3
What is your email address?* This field is required.
4
How old are you? * This field is required.
5
What is your phone number?* This field is required.
6
Why are you interested in working with Courtney?* This field is required.
7
Height and Current Weight:* This field is required.
8
What was your weight 2, 4, and 6 months ago:* This field is required.
9
What is your gender?* This field is required.
Female
Male
Non Binary
Prefer not to say
10
Occupation (factored into energy expenditure):* This field is required.
11
State/Providence, Country and Time Zone you live in:* This field is required.
12
Current Training Frequency (# of days/week you weight train, NOT CARDIO)* This field is required.
13
Type of training / current training split (bodybuilding, powerlifting, Crossfit, triathlon, mixed etc)* This field is required.
14
Duration (on average) per training session:* This field is required.
15
How long have you been training CONSISTENTLY?* This field is required.
16
Do you have access to a FULL GYM? If not, what DO you have access to? (be specific) * This field is required.
17
Do you have any past OR current injuries? Be specific * This field is required.
18
Cardio Frequency (# of days/week you currently preform cardiovascular activity):* This field is required.
19
Duration (on average) of each session:* This field is required.
20
Type of Cardio (LISS, MISS, HIIT):* This field is required.
21
Current Stress Levels (on a scale of 1-10, 1 being very little/no stress, and 10 being extremely, overwhelmingly stressed):* This field is required.
22
Have you had blood work done in the past year? Were there any important findings?* This field is required.
23
Do you have a regular menstrual cycle?* This field is required.
24
Are you on birth control or any other hormone modifying medication?* This field is required.
25
What is your current macronutrient (C/F/P) split? If you are on a meal plan - please include a copy of your current plan, including relative quantities of food (ex: 4 oz chicken, 1 cup rice etc) so that I can determine your current intake:* This field is required.
26
Please describe what your average daily nutrition routine looks like:* This field is required.
27
How long have you been at this current intake or meal plan?* This field is required.
28
Are you currently losing, maintaining or gaining weight with your current nutrition plan?* This field is required.
29
Have you ever tracked macros before? What would you rate your skin/expertise level if you have tracked?* This field is required.
30
Food preferences:* This field is required.
31
Macronutrient preferences in terms of taste/enjoyment (carbs v. fats v. protein):* This field is required.
32
Please describe your dieting history (including your first attempt and most recent attempts at fat loss / caloric deficit):* This field is required.
33
How many untracked meals do you have per week?* This field is required.
34
Any food intolerances, allergies, nutrient deficiencies, diseases etc? (ex: lactose intolerant, Celiac's Disease, anemia etc)* This field is required.
35
Have you ever or are you currently dealing with any kind of eating disorder such has anorexia nervosa, bulimia nervosa or binge eating disorder (BED)? If yes, I can not work with you for that is out side my scope of practice. But I am more than happy to provide you with professional eating disorder, mental health etc resources if you would like!* This field is required.
36
Do you have any other serious medical or psychological disorders/diseases? Including but not limited to age of diagnosis, lifestyle modifications, medications etc):* This field is required.
37
What would you say are your top 5 priories in your life currently?* This field is required.
38
Personal goals (please provide 3-5 body related goals and 3-5 non-body related goals)* This field is required.
39
Physical Goals (reduce body fat, add muscle mass etc)* This field is required.
40
Non Physical Goals (strength goals, mindset goals etc)* This field is required.
41
What is your reasoning for wanting to be apart of CH Fitness?* This field is required.
42
Are you looking for Nutrition ONLY or nutrition + training coaching?* This field is required.
Nutrition ONLY
Nutrition AND Training
43
What are you motivated by?* This field is required.
44
What is discouraging to you?* This field is required.
45
How long are you looking to work with Coach Courtney? We are not looking for short term relationships (8, 12 or 16 weeks). We prefer working with humans who want to take the slow and steady route, and create a strong coach-client relationship. * This field is required.
46
How did you get to where you are now with regards to your fitness and health (for better or for worse)* This field is required.
47
What are you biggest strengths? (does not have to fitness related!)* This field is required.
48
What are your biggest weaknesses? (does not have to be fitness related!)* This field is required.
49
Which of the following sounds most like you:* This field is required.
I am newer to nutrition + fitness and need a bit more intense guidance and support with macros, training, habit building and overall support on my journey
I am working with a medical nutrition diagnosis (PCOS, Hashimoto's, etc) and want to learn how to best support my condition while achieving my other goals
I'm more advanced (3+ years of experience and consistency) and want more specific support for nutrition, body composition shifts, training, biomechanics + personal development and growth
I am looking for a coach to help me gain a new understanding of how to take care of my body and optimize its functioning and performance in the framework of a sustainable lifestyle
50
Check the boxes that you are looking to learn more about while working together!* This field is required.
I want to learn how to track macros
I want to improve my relationship to food
I want to learn how to better harmonize my macros/calories with my nutritional goals (more nutrient density, eating habits etc)
I want to be able to have meals/days "off" plan without feeling like I'm ruining progress
I want to lose fat
I want to build muscle
I want personal development and evolution
I want to learn how to work with my medical diagnosis
I want to improve my cardiovascular health / endurance
I want to become physically stronger
I want to learn how to navigate vacations, holidays, gatherings etc without being obsessive but also without throwing everything out the window
I want to improve digestion
I want to have a less painful and terrible menstrual cycle
I want to make sustainable changes to my habits, mindset and body composition and understand that this takes TIME
I want to be able to eat more food on a consistent everyday basis
I want to feel more athletic
I want to understand my own bio-feedback and how my body communicates with me
I want a social life while working towards my fitness/health goals
I want to learn how to reconnect with my body and nourish it optimally
I want to feel confident inside AND outside of the gym
I want to be apart of a community with like-minded, dope ass humans for further support, accountability and love
I want to learn and grow
I want to feel healthy, abundant and happy
I want to feel proud of myself
51
Do you have any questions for Courtney before she calls you or anything else that you think she should know about you?* This field is required.
Should be Empty: