Online Coaching Application
Training & Nutrition
Name
*
First Name
Last Name
Phone Number
*
Please enter a valid phone number.
Email
*
example@example.com
Instagram
Age
*
Height & Weight
*
What state do you live in (if outside of US, please provide country)?
*
Which type of coaching are you interested in?
*
Athlete - I'm looking for help training for a competition/sport
Lifestyle - I'm looking for help building and maintaining a healthy lifestyle
Occupation
*
What are your fitness goals and why?
*
How many years of experience do you have in the gym (this includes sport specific training)?
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How many days are you currently working out (this includes weight training and cardio/activity/sport)?
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How many days are you willing to work out (this includes weight training and cardio/sport)?
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4
5
6
How much do you know about nutrition?
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Beginner: Every meal is a guessing game/I've never thought about it
Basic: I know what's good or bad for me and a basic understanding of portion control
Advanced: I understand macros and have tracked meals before
Expert: I have a strong understanding of macros and micronutrients
Have you worked with an online coach before?
*
Yes
No
If "yes" to above, please explain your experience working with an online coach (ie. what helped/didn't help).
Are you willing to track your meals to reach your fitness goals?
*
Yes
No
List/describe any preexisting injuries or medical conditions (write N/A if none).
*
Anything else I should know?
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