Consultation Questionair

Fully Remote Fitness Focus Program

$35/ Week | Minimum Programming of 8 weeks
Is your nutrition on point, and you're now looking to add in activity but not sure what to do or where to start? This is the program for you.

Here is what your program will consist of:

~Personalized Fitness Plans with phased training

~ Suggested Meal Plans based on fitness goals

~Custom Fitness Programing

~Video Demo of Exercises

~Unlimited messaging with me

~1-on-1 Coaching call with me
Full Name*

First NameLast Name
Phone Number*
Please enter a valid phone number.
Email*
example@example.com
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Age*
years
Height*
EX. 5' 2"
Current Weight*
LBS
Ideal Weight*
LBS
Tell me a little bit about yourself...
Whats the activity level at your job?

none(seated only)Moderate (light activity such as walking)High (heavy labor, very active)
What are your goals? (check all that apply)*

Lose Body FatImprove Body Composition at Current WeightGain MuscleHave More Energy and VitalityGain Control of Relationship with Food & ExerciseOther
What is your current diet best characterized as:*

low-fatlow-carbhigh-proteinVegetarian/VeganNo special diet
What do you think you need most in order to achieve your goals? (check all that apply)*

Accountability & ConsistancyEducation & GuidanceCommunity SupportOther
Why are achieving these goals important to you?*
What do your current diet and exercise routine look like?*

I workout several times a week and pay attention to my nutriton.I am currently sedentary (dont workout) and need to imporve my nutrition.I have a good workout rotuine but need more guidance with my nutirion.I have my nutrition on point but need more guidance with my workouts.
Do you have any specific health concerns such as illness, pain, injuries, etc?
Have you trained with a personal trainer or online coach before?*

YesNo
What kind of training did you do?
How did you first find about FittMama Nutrition and Fitness?*

InstagramFacebookTikTokAn Ad (thumbtack,/google/FB/IG)RefferalOther
I understand that this program requires a minimum 2-month commitment.*

I understand
I understand that this program requires dedication and consistency.*

I understand
Congratulations on taking this important step for your health! 🎉 I’m excited to work with you, and I’ll be in touch soon to go over our next steps & schedule your program onboarding call. Get ready to start your journey toward achieving your goals!
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Fully Remote Fitness Focus Program