HypeCarbProgram_IntakeForm

LIFESTYLE COACHING APPLICATION

Apply to work with Head Coach D. This is for ACTION TAKERS, women/men, that are ready to implement the necessary steps in your health and fitness journey to lose the weight and learn successful strategies to KEEP it off. Action Takers looking for less restrictions and more of a balanced fitness lifestyle with continued results that will last longer-term are the Go Getters that fit this programs criterion.
IF YOU DO NOT FILL OUT THIS FORM, YOUR CALL WILL BE CANCELLED.

Please fill in the below details. Each detail will help with determining if our programs will work for you and if we are a fit to work together. Answer 'n/a' to any questions you aren't sure about.
Do any of these statements sound like you?

Other
How much are you prepared to invest if you are guaranteed to get the results you are looking for within the 3 month timeline?

Other
Potential Client Name
Email
example@example.com
Age
Phone Number
Height and Weight (lbs)
1. What is the #1 struggle you are experiencing with weight loss programs you have tried previously?

Other
2. Are you prepared to make an investment towards your health on the call if we align, so we can get straight to work?
3. Do you work out regularly? (cardio, lifting, gym or at home) Please be specific include how many times per week and length of workout sessions.
4. If you currently don't work out, are you willing to add in workouts to couple with your balanced approach to nutrition to help aid with results?
5. Do you mind using tools to track/monitor meal intake? (MyFitness Pal, Mymacros, etc.)
6. Do you have any current nutrition or physical activities that your doctor has warned you against? Please be specific. All details will remain confidential.
Need more space? Use last section of form to elaborate.
7. What would you like to accomplish and/or achieve while being mentored on one of the Hype Carb Mentor Programs? (Be specific: waist size, how much weight do you want to lose/gain/maintain, what do you want your body fat to be, performance goal etc) How long do you think it will take to achieve your goals?
8. Do you have a kitchen food scale? Do you use it or know how to?
9. Please add any additional details you would like for me to know about you, including if you currently follow a diet plan like keto, intermittent fasting, etc.
FAQs: The Hype Carboholic Mentorship programs do not require you to meal prep. However, to accomplish goals you will learn how to balance your meals more appropriately when eating at home, while traveling, while eating out, etc. All clients that follow the carb balanced approach are responsible for determining their own meal structure one meal at a time. Your body, your meal, your choice!

Video(s) will be provided to support exactly how meal intake is tracked throughout the program. This method will allow me to guide you throughout the process and to help you learn how to apply changes in the future without my support. I will provide all Program payment options once your application responses are reviewed. Please allow a 72-hour turnaround time for my final review and/or response. Email rochelsweet@gmail.com should you have any questions.
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LIFESTYLE COACHING APPLICATION