Tell Me Everything

Tell Me Everything

They call Miss. Doctor Phil. By taking a few moments to fill this out, I can get a better grip on you, your goals, and what is going on in your health, life, and body. Together we can figure out the plan. Man. IN ORDER TO BOOK A CONSULTATION WITH ME, BASED ON THE INFORMATION IN THIS CONTACT FORM, THERE IS A FREE OF $150.00 REQUIRED. A PLAN OF ACTION WITH A CUSTOM REPORT OF DIETARY RECOMMENDATIONS, FITNESS TRAINING RECOMMENDATIONS, SAMPLE MEAL PLANS BASED ON YOUR CALORIC NEEDS FOR YOUR STATED GOALS, NUTRITIONAL SUPPLEMENT RECOMMENDATIONS, AS WELL AS YOGA AND STRETCH THERAPY TRAINING PROTOCOL, WITH A 60 MINUTE PHONE CALL, ZOOM, OR FACETIME TO GO OVER EVERYTHING PRIOR TO STARTING YOUR OFFICIAL PROGRAM, WILL BE SENT TO YOU BY EMAIL, AND YOU WILL BE CONTACTED TO SCHEDULE YOUR HOURS CALL. PAYMENT LINK IS BELOW TO MAKE A PAYMENT PRIOR TO BOOKING.
Full Name

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Contact Number
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Email Address
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What date and time work best for you?
Any other specific date and time, if the above selection is not suitable.

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Date
Hour MinutesAM/PM Option
What services are you interested in?
What is your age?
What is your height?
What is your current weight?
What is your Date of Birth?
What are your health and fitness goals? What would you like to accomplish by working with me?
What do you do for fun or hobbies?
What inspired you to reach out to me today?
What do you currently do now for fitness / activity?
Do you have any injuries, aches, pains, physical things specifically that you'd like to improve, correct, or balance? For example, "rotator Cuff Issues" or "sciatica."
Do you currently have a personal trainer, coach, nutritionist, or therapist? How often do you work with them?
What is your sleep like on a scale of 1-10, with 10 being horrible, and 1 being sleeps like a baby?
Are you on any medications?
If you are on medications, or take vitamins, or any other supplements, please list them here, for what, and how much.
Have you been diagnosed with any medical conditions?
If time and money were no object, and you could design your health and fitness, energy, emotions, and life exactly as you wanted, as if you were the lead character in a movie, what are a few of the things you would have, see, be, or do?
Are you in a relationship? Explain to me if it is a long term, complicated, dating, or recent divorce or break up? List any other factors related to relationship that you may find important and that might affect your in any way. For example, "I have a strong libido, but my wife does not," or "I just found out my partner was cheating on me?" etc. any factors that you would like to share, feel free.
Do you prefer to communicate by phone, zoom, text, email, or any other method?
Are you interested in working with me via online, in person, or at the local South Beach Fitness Studio that I train out of, or any other option you have in mind? I travel all over the world to work with people, so location is never an obstacle. If you would like in person coaching, training, health and fitness programs, please tell me where you are located in general.
On a scale of 1-10 with 10 being the maximum, 1 being none at all, what is your average stress level?
What do you do for work? If you are retired, what did you do for work?
The average competitive rate for personal trainers in Miami is between $120-$200 per hour, with a recommended 3-5 sessions per week, for in person training. Virtual training is less, based on if you want regular training by zoom, or if you'd prefer to use the ap for your fitness and health plans. If there is travel required to come see you, I add a travel fee that is the same rate as what an uber costs in addition to your session. Are you aware of, and capable of the financial investment required for a coaching/ training program with me? Monthly rates may be anywhere between $400- $4000 depending on what exactly you would like to accomplish. If you have a specific budget you are used to or would like to stick with please let me know here.
What are the major stumbling blocks in your way for achieving the optimal health and wellness that you desire?
What do you currently eat on a typical day. Please tell me exactly what you had today, and yesterday including water, coffee, and/ or extras like snacks, condiments, creamers, etc.
Have you ever thought of having a meal prep company, or do you currently use one?
Do you keep track of how much protein, carbs, fat, you eat?
How much alcohol do you drink per week/ day?
Please tell me anything else you would like to discuss, or anything else about you that may help us to get to know each other better in preparation for a one on one consultation. Keep in mind that serious inquires only will recieve a custom report professionaly written and formatted with recommendations based on all of this information, In order to recieve a personal and customized initial plan of action, there is a fee of $150.00 which includes a 60 minute phone call, and a report sent to you with your Basal Metabolic Rate, Caloric recommendations, sample meal plan, and fitness recommendations. You can recieve a deduction of the $150.00 when you purchase a package of training or programming with me later.

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60 Minute Consultation

A 60 minute consultation will include a detailed report based on the information gathered in this contact form. The report will be emailed to you, and may include meal plans, workout recommendations, stretches and therapies recommended, dietary and nutrtitional therapies, as well as any other information that may be specific and custom fit for you in order to achieve the goals that you would like to achieve. Once you pay for a consultation, we you will be contacted by me in the method of communication you prefer, to schedule your consultation. Please be thorough with the intake questionnaire so I can get to know you and what your goals, health, and health and fitness history are.

$150.00 Quantity

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