Coaching Application

Coaching Application

Lifestyle or Competition
Name*

First NameLast Name
Email*
example@example.com
Instagram handle
@example

Tell me a bit yourself...

I am BIG on communication, so don’t be shy…The more information I have, the better!
What are your health and fitness goals?*
What is your current age, height, and weight?*
What is your current occupation and what type of physical activity does it require?*
What type of physical activities do you currently do? What type of physical activities have you enjoyed in the past?*
What is your go-to karaoke song?*
How committed are you to working hard to achieve your goals?*

I don't want to have to change too muchI am somewhat committedI am very committedI will do whatever it takes!
What is the main barrier that has been preventing you from achieving your goals? *
What makes you feel like I am a good fit to coach you personally?*
How many days per week can you commit to working out?*

3-44-55-6
Will you be working out at home or at a gym? If at home, what equipment do you have available?*
What is your current diet like? Please be thorough and honest. (How many meals, examples of meals, caloric intake, etc.)*
Do you have any prior experience tracking calories and/or macros?*

No prior experienceCalories onlyMacros onlyBoth
Have you had any good or bad experiences with previous diets? Which ones?*
Would you prefer to track macros or follow a meal plan?*

MacrosMeal PlanNot sure
What is your all time favorite movie?*
Please list any injuries, physical limitations, medical conditions, or prior surgeries I should be aware of.*
Although virtual, my coaching is a very individualized and much more “hands on” approach than other programs. Are you in a financial position to invest a few hundred dollars per month to work towards becoming the best version of yourself?*

Yes! I am ready to make my dreams come true!Yes, but I would like to discuss investment options.No, I am not in the financial position to invest at this time, but would love more information.
Is there any other information you would like me to be aware of?*
Please verify that you are human*
What is the most spontaneous thing you have ever done?*
Imagine your life after you have achieved your goals...What does it look like? How does it make you feel?*
Are you willing to weigh and track all of your food?*

YesNoNot sure
What prompted you to apply for coaching NOW?*
What was the best concert you've ever been to?*
Are you on any medications?*
When life gets crazy, what are some non-exercise and non-food related habits that help you feel calm or centered?*
Is there anyone who is involved in making this decision with you? If yes, how will their lives be impacted by you achieving these goals?*
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Coaching Application

Tell me a bit yourself...