Name
First Name
Last Name
Birthday
-
Month
-
Day
Year
Date
What is your Instagram name ?
Phone Number
-
Area Code
Phone Number
Email
example@example.com
What are you wanting to accomplish physically?
How long have you been "THINKING" about getting into shape?
Have you ever been on a nutritional plan before?
What's your relationship with food like ?
Do you struggle with Binge eating / stress eating / comfort eating ?
What do you do for work? Describe how that has affected your fitness goals .
Why do you want to work with me over other coaches?
What's your relationship with exercise like ?
What is your marital status ?
Married
Single
Divorced
Widowed
Are you Coachable ?
I Try !
somewhat
need in person support
Unsure
What challenges you most ?
Knowledge and Skills
Execution
Which would be best to support your needs, and schedule ?
In person Training -40-60 min sessions
All inclusive Online Plan + Personalized Coaching
What exact days would be best for you to work out ?
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Which do you prefer?
Mornings
Mid day
Afternoons
No preference
Are you interested in permanent results?
Yes
No
What is motivating you to get to your fitness goals?
Have you ever worked with a trainer before? if so explain what went well for you , or what could have been different.
With Payment plans available for all options over $500 ,Which would you be most interested in ?
In person single sessions $12 for $1200 / Hard scheduling 10 for $1000 , 8 for $900
4 Week Training plan , Macros , Food list and post workout treat list with 1 check in per month $100 subscription
8 Group Micro sessions/In person $550 ( 4 weeks ) Flexible scheduling
10 Group Micro sessions /In person $600 ( 4 weeks )Flexible scheduling
12 Group Micro sessions /In person $650 ( 4 weeks )Flexible scheduling
Hybrid Both Online and In person 1 session per week With all access to programs and Coaching specifically for those wanting to learn During these sessions $600
3 month Online Transformation Plan / 12 week nutrition and Training Plans + weekly check ins with me / Adjustments as needed $550 ( $45.83 per week )
4 week Online Transformation Plan nutrition and Training Plans + weekly check ins with me / Adjustments as needed $250 ( 62.50 per week )
6 month Online Transformation Plan / Nutrition and Training Plans + weekly check ins with me / Adjustments as needed $850 ( $35.41 per week )
What time zone are you in ?
What times are you most available for our phone call ?
Do you have any questions for me?
Submit
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