Higher Level 1-on-1 Coaching Application

1

Name* This field is required.

First Name

Last Name

2

Phone Number* This field is required.

Please enter a valid phone number.

3

Email* This field is required.

example@example.com

4

Age* This field is required.

5

Height* This field is required.

6

Weight* This field is required.

7

Where did you hear about me/where are you coming from? (Tiktok, Instagram, YouTube, etc.)* This field is required.

8

In detail, what has fitness been for you in the past and what are your struggles?* This field is required.

9

What have you tried in the past (diet, workouts, coaching, etc.) to achive your goals and for how long? * This field is required.

10

In detail, where would you like to be/see yourself (weight goal, build muscle, desired new life, dream outcome, etc.) in 3-6 months even 12 months with me?* This field is required.

11

What are your fears or concerns with taking your goal seriously?* This field is required.

12

Why is today the day you decided to make a commitment for yourself?* This field is required.

13

Are you in school and or employed?* This field is required.

In school not employed

In school and employed

Not in school but employed

None

14

Are you employed or have an income? If yes, what is your average monthly income?* This field is required.All information is disclosed and kept private

No Income

$500-$1500

$15000-$3000

$3000-$5000+

15

What are you able to spend monthly on coaching* This field is required.

$100-$300

$350-$500

$500+

16

Are you aware that working 1:1 with me is a paid service? You understand you are applying for a paid coaching service. Are you ready to make a financial commitment to acheive your fitness goals?* This field is required.

I am ready and commited to whatever it takes! Reach out!

I am ready but unsure of financial commitment. I need convincing.

I am not ready to commit financially. Don't reach out.