Kathryn Cox Huggett
Health and Fitness Coach
Welcome!
I am so excited to help you feel strong, healthy, and confident. Please fill out my client assessment below so that we can get started as soon as possible.
Form
Name
First Name
Last Name
Email
example@example.com
Phone Number(Only necessary if you would like me to be your coach.)
Please enter a valid phone number.
Format: (000) 000-0000.
Address (Only necessary if you would like me to be your coach.)
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Where do you live?
Canada
United States
United Kingdom
France
What is your fitness level?
Beginner
Intermediate
Advanced
What are your health and fitness goals?
What time of the day do you prefer to workout?
Early Morning
Mid Morning
Lunch Break
Mid Afternoon
Evening
Please tell me about your current fitness routine, if you have one.
Why do you want to create a healthy lifestyle? Choose all that apply.
To feel good in my skin
To be able to play with my grandkids
To slow down the aging process
To be able to have more energy
To live my best life
To balance hormones
To feel strong
To feel confident
To live longer
To get off of medications
To have better heart health
Other
How did you find me?
Instagram
Facebook
Tiktok
Youtube
A Friend
If a friend referred you, I would love to thank them!
Which physical health changes do you consider most important to you? Choose all that apply.
Lose weight
Gain energy
Feel good in my skin
Tone up
Build muscle
Lose fat
Lose inches
Gain Weight
Other
What do you struggle with the most: nutrition, working out, or motivation?
Do you currently have Beachbody on Demand?
What products are you most interested in learning about? Choose all that apply.
Shakeology (Superfood shake)
Energize (pre workout drink)
Recover (post workout drink)
Recharge (Before bed drink)
Collagen
Power Greens
Focused Energy
Beach Bars
Focused Energy Bevvy
Revitalize
Optimize
If you have not received an email from me after the 48 hours, please check your junk or spam folder. I am looking forward to helping you with your health goals.
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