14 Day Trial Sign Up

1

What goal are you looking to achieve from your online health coaching?* This field is required.Please be as detailed and specific as possible.

2

When it comes to achieving your health, fitness and transition goals, what’s the single biggest challenge, frustration or problem that you’ve been struggling with?* This field is required.Please be as detailed and specific as possible.

3

Which best describes your current level of physical activity?* This field is required.

Very Low - I never do any kind of exercise. I lead a very sedentary lifestyle.

Low - I exercise or engage in physical activity on occasion, but nothing very intense.

Average - I exercise or engage in physical activity once or twice a week.

High - I exercise or engage in physical activity at least three times per week.

Very High - I exercise or engage in physical activity daily at a medium-to-high intensity.

4

What areas of your health would you like support with?* This field is required.Select all that apply.

Movement

Nutrition

Sleep

Stress Management

I'm not sure!

5

How much accountability do you expect to need from your coaches?* This field is required.

Low Accountability. I'm able to keep myself accountable and stick to a program.

Medium Accountability. I'm somewhat able to hold myself accountable, but I might need some support.

High Accountability. I'm definitely going to need a higher level of support from my coach to achieve my goals.

6

What style/s of coaching might you like to receive from your online health coaching program?* This field is required.Select all that apply.

A self-paced movement program to help me achieve my physical goals

Online classes and/or group training sessions

1:1 personal training sessions with a coach (via video call)

A holistic health coaching program that focuses on all aspects of my health with regular check ins with my coach.

To find other like-minded queer training buddies who I can meet up and train with online!

I'm really not sure! But I would like to experience all of it so I can gain a better understanding of what online coaching looks like.

7

How did you find out about us?* This field is required.

8

Last Step: What’s your best contact information so I can get you started on the 14 Day Free Trial?* This field is required.

First Name

Last Name

9

What are your pronouns?

Pronouns

10

What's your email address?* This field is required.

example@example.com

11

Phone (Optional)Lastly, I may wish to follow up with a few people on the phone personally to better understand your situation. Would you be open to speaking on the phone for a few minutes on the condition that I promise not to sell you anything? If so, would you please leave your phone number below? Thank you!

Country Code

Area Code

Phone Number

12

Physical Activity Level Code

13

Deep Health Code

14

Accountability Code

15

Coaching Style Code