Custom Fit Coaching: Built Around YOU

Custom Fit Coaching: Built Around YOU

Ready to stop starting over?This form helps me get clear on your goals, challenges, and what will actually work for your body, lifestyle, and mindset. Whether we end up working together or not, you’ll walk away from the next step (your strategy call) with more clarity than you have right now.Let’s skip the guesswork and false starts — I’ll meet you with real talk, real tools, and a plan that fits you.Take 3–5 mins to fill this out and I’ll be in touch.
Name*

First NameLast Name
Email*
example@example.com
Phone Number*

Country CodeArea CodePhone Number
Preferred Contact Method
Best Time for Contact:
Location*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
What are your primary health and fitness goals? (Select all that apply)*

Weight lossImproved fitness and physical performanceStress reduction and relaxationImproved nutrition and dietary habitsImproved sleep qualityImproved mental health and emotional well-being.To move more freely pain-freeHealthy agingOther
If other, please specify.
What is the primary challenge you're facing that's keeping you from reaching your goals?*
Please share any past or present injuries we should be aware of to tailor your training program safely and effectively.*
Share Your Journey: In 75 words or less, tell me about your health & fitness goals; why is improving your health and well-being important to you right now? This information will help me understand your motivations and tailor my recommendations to your specific needs.*
What’s your current budget for improving your health and fitness?This helps me recommend the most aligned path forward—no pressure, just clarity.Payment plans are available for some programs.*

Less than $100$100-$250$250-$500$500-$1000More than $1000I'm willing to sell my first born.
Are you currently invested in any other health and fitness coaching program? If yes, please provide details.*
What other things have you tried before to achieve your health and wellness goals, and did they work for you? If not, why not?*
Do you currently use any health or fitness supplements to support your goals? (Select all that apply)*

Protein powder or meal replacement shakesCollagenCreatinePre-workoutMultivitaminPost-workout or recovery supplementsNone, right now.Other
If other, please specify!
Would you like guidance on the best supplements to support your specific goals and body? This is 100% optional, but I’ve been coaching with effective, results-driven products for 20+ years and I only recommend what I stand behind.*

Yes, please!Maybe- I am curious.No thanks, I’ve got this covered!
Which of the following services are you interested in? (Select all that apply)*

One-on-one coaching OnlineOne-on-one coaching OffllineAgeless Fit & Fierce 12 Weeks Mindset and Self-worth CoachingGroup coachingNutrition Program5 Day BSB (Bringing Sexy Back)WorkshopThe Little Black Dress Project (6weeks)
How long do you envision committing to a program to achieve your fitness goals?*

5 Day Workshop4 Weeks6 Weeks12 WeeksOther
If your application is accepted to work with Martine, how soon can you start?*

ImmediatelyWithin the next weekWithin the next monthWithin the next 3 monthsNot sureLast Week, LOL
How serious are you about achieving your health and wellness goals?*

Not very seriousSomewhat seriousExtremely seriousHell yes, let's go!
Do you have any additional comments or questions that you would like us to address? Answer box here
Are there any factors or concerns that could potentially hinder you from starting your fitness journey right now? Please elaborate so we can address them together.*
Thanks for taking the time to share all this. It tells me you’re ready—and that’s the first big win.I’m looking forward to helping you build a plan that fits and gets you real results.
BOOK YOUR STRATEGY CALL HERE!
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