JP Coaching Application

2. Are there any areas of the body that you wish to specifically focus on? Please select all that apply:

Other
3. What are your top three fitness/nutrition goals? Please list:

8. How dedicated are you to achieving your goals?
9. What, if any, are your expected barriers towards your exercise program?(E.g. long work hours, lack of facilities, other responsibilities)
10. How much availability in a week do you have to exercise?
11. Please share any medications that you are currently taking that may effect your ability to participate in anexercise program:
12. Coaching is an investment of time and money. How willing are you to take on this change?
Where are you located?
Once this form is completed, I will reach out via email with more information and next steps! Please feel free to contact me with any questions you may have. I am so excited for your new journey!!!
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