Coaching Application
Lifestyle or Competition
Name
*
First Name
Last Name
Email
*
example@example.com
Instagram handle
@example
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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?
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What is your current age, height, and weight?
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What is your current occupation and what type of physical activity does it require?
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What type of physical activities do you currently do? What type of physical activities have you enjoyed in the past?
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How committed are you to working hard to achieve your goals?
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I don't want to have to change too much
I am somewhat committed
I am very committed
I will do whatever it takes!
Imagine your life after you have achieved your goals...What does it look like? How does it make you feel?
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What is the main barrier that has been preventing you from achieving your goals?
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What prompted you to apply for coaching NOW?
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What makes you feel like I am a good fit to coach you personally?
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Will you be working out at home or at a gym? If at home, what equipment do you have available?
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How many days per week can you commit to working out?
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3-4
4-5
5-6
What is your current diet like? Please be thorough and honest. (How many meals, examples of meals, caloric intake, etc.)
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Do you have any prior experience tracking calories and/or macros?
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No prior experience
Calories only
Macros only
Both
Have you had any good or bad experiences with previous diets? Which ones?
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Are you willing to weigh and track all of your food?
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Yes
No
Would you prefer to track macros or follow a meal plan?
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Macros
Meal Plan
Not sure
Please list any injuries, physical limitations, medical conditions, or prior surgeries I should be aware of.
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Are you on any medications?
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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?
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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 anyone who is involved in making this decision with you? If yes, how will their lives be impacted by you achieving these goals?
*
Is there any other information you would like me to be aware of?
*
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Complete this section ONLY if you are interested in competing
*If applying for lifestyle coaching, scroll down to complete the CAPTCHA and hit "submit"
Which division are you interested in competing in?
Bikini
Wellness
Figure
Other
Not sure
What is your reason for competing?
Do you have any prior experience competing? If yes, please elaborate.
What was your previous stage weight (if applicable)
Please attach photos of your current physique as well as your most recent stage shots (if applicable)
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