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Fitness + Nutrition Coaching
Full Name
First Name
Last Name
Email Address
example@example.com
Contact Number
Please enter a valid phone number.
Format: (000) 000-0000.
Height, age, & current weight?
Instagram handle
@username
What do you do for work? Sedentary or active? (include approx. step count)
Are you looking for online or in-person training? If in-person, how many days a week? (1 hour sessions)
What is your primary fitness goal? (Weight loss, muscle building, performance, just getting around better, etc)
What would you describe to be your greatest challenge? (Accountability, over-eating, not challenging yourself, being lost in the gym, etc)
How would you describe your workout experience & how long have you been lifting weights? (Beginner, Intermediate, Advanced) How often?
Do you have any prior experience being coached? If so, what did you learn from the experience(s)?
How would you describe your diet? Have you meal prepped or tracked macros before? Allergies?
What medications/supplements/vitamins are you currently taking? Any pre-existing medical conditions or injuries I should know about?
Do you own a smart watch or a device to track your steps? (Garmin, Apple watch, FitBit, etc)
What are 3 things you LOVE outside of self-improvement?
When is a good time to hop on a call?
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