6 Weeks Body Coaching Application

6 Weeks Body Coaching Application

Finally, someone to hold you accountable and guide you to the freedom you seek.
Your Name*
What is your subscription site username?*
Email*
example@example.com
Country of residence / Time zone
About You

Please answer the following questions in order for my fitness coach and I to get an overview of your health and lifestyle as well as identify any potential health risks or areas that may need to be addressed.
How tall are you?*
ft & in
How much do you weigh?
kg & lbs
Job Title/Industry*
How active are you at work?
Your Lifestyle
How would you describe your overall health?
Do you have any chronic health conditions that you are currently being treated for?
Are you taking any medications? If so, what are they for?
Do you follow a specific diet or have any dietary restrictions?
How much sleep do you get on average per night?
Do you smoke or use any tobacco products?
Tell me about the stressors or issues that are impacting your mental health.
Do you exercise regularly? If so, what type of exercise do you do and how often?
Do you have any allergies or sensitivities?
Do you drink alcohol?*
Units per week
Fitness
What is your current fitness level?
What (if any) are your fitness goals?
Why do you want to participate in My body confidence program?
How many days per week are you available for training?
How many days per week are you available for training?*
What is your availability for training sessions?
Morning, afternoon, or evening?
Do you have access to a gym or will training sessions take place in a home setting?
Morning, afternoon, or evening?
Your Kink Life
GentleMostly gentle with the odd moment of crueltyMostly cruel with the odd moment of gentlePure cruelty
Soft limits on control of your body*
Hard limits on control of your body*
Start Date

DayMonthYear
Your form will be processed within 48 hours so please choose a start date a few days from now
This application requires an accompanying fee of $500 Via OnlyFans/LoyalFans Tip.

From your start date until your period of body coaching ends you will be expected to maintain a record of your meals, water intake, and many other activities detailed in the document that will be provided to you. This digital record will be closely monitored by Myself and My fitness expert. Spot checks will also be required.
£400 Via Cashapp (£TheCountessDiamond)
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6 Weeks Body Coaching Application

About You

Your Lifestyle

Fitness

Your Kink Life