Online Coaching Application

1 on 1 Coaching Application!

Welcome to my online coaching application form! My goal is to help you become the happiest, healthiest version of yourself by building sustainable lifestyle habbits.

Your health and fitness goals MATTER and I am excited to be able to work with you on your journey to achieving them. Please answer all the questions below to help me get a better understanding of your goals and how I can be the best coach to guide you along the way!

PLEASE NOTE:

Serious inquiries ONLY!!! Only apply if you are 17 years or older.

Do not apply if you are unable to afford any of the coaching package options.

I will only be accepting 2 clients per package to start off with, which will allow me to give each client my absolute best. Once I feel I can accept more clients, I will open up more available slots!

Once I receive your form, I will take time to review. Then, I will reach out to you so we can connect and get started working together!

Listed below are my 2 online coaching package options that I am offering with descriptions and pricing. Keep in mind, diet plays the BIGGEST role in your physcial and mental health as well as how fast you progress towards reaching your goals.

NOTE:

Package 1 will be the best option if you already have good healthy lifestyle habbits as well as a fitness background. This will be more for clients who have a lot of determination toawards a weight loss goal.

Package 2 will be the best option for those who are just starting out on a fitness journey and are looking to lose weight/lean out. This will be more slow and steady progressions to start building healthy lifestyle habbits each week.

Package 1- $60/week. What's included: custom workout programming, diet programming (macros set to fit your fitness goals), and weekly check-in's.Package 2- $45/week. What's included: custom workout programming, nutrition guideance on building healthier eating habbits, and bi-weekly check-in's.I am not sure which one, I will need your advice on where I should start.

Full Name

First NameLast Name

Email

example@example.com

Phone Number

Please enter a valid phone number.Format: (000) 000-0000.

MaleFemale

Date of Birth

MonthDayYear

Age

years

Height

feet/inches

Weight

lbs

What are you looking to achieve while we are working together? (Ex: weight loss, build healthier eating habits, establish a consistent weekly routine, etc.)

What is your current workout regimen?

Type N/A if you do not have one

If you do cardio, what is your weekly cardio routine?

How many steps do you currently average daily?

Type N/A if you are unsure

None (seated only)Moderate (light activity such as walking)High (heavy labor, very active)

If you have any diagnosed health problems list the condition(s).

If you have any allergies, please list them.

If you are on any medications, please list them.

If you have any past/current injuries, please list them.

If you are currently tracking macros what are they set at? Or, if you are tracking calories, how many are you averaging per day?

Type N/A if you are not tracking anything.

Do you own a fitness tracker?

Ex: Apple Watch, Fitbit

Are you familiar with calorie tracking or any tracking app such as MyFitnessPal?

How often are you willing to train a week to reach your goal?

What equipment do you have access to?

Please rate your determination level to achieve your goals

1

2

3

4

5

1 is Just thinking about it , 5 is Willing to do whatever it takes!