[Imported] 1:1 Nutrition Coaching Application

1:1 Nutrition Coaching Application

Thank you for considering working with me on your health and fitness journey! My 1:1 coaching is designed to help women build strength, achieve sustainable fat loss, and adopt a balanced approach to nutrition, no restrictive diets here. Weightlifting is a key part of the program for building both physical strength and resilience as we work toward your goals.This application will help me get to know you better and see if we’re a great fit to work together. My coaching combines science-backed methods, habit-based tracking, and weekly check-ins, along with ongoing communication to ensure accountability and support every step of the way. If you're ready to approach nutrition with an open mind, commit to the process, and create lasting change, I’d love to learn more about your goals.With over 10 years in the fitness industry and personal experience as a woman over 40. I'm here to help you find strength, confidence, and balance. Let’s get started! Please answer all questions honestly to ensure the best experience possible.
Email*
Name*
Age*
Phone Number*
What are your goals ?*

weight loss + balanced nutrition + healthy lifestylelose body fat while maintaining musclemaintain weight but look leanercreate healthier eating habitsgain weight put on muscle mass
Do you have any health conditions (including hormone imbalances, weight loss surgery)*
How much has your weight change in the last year?*
Have you dieted in the past year? What diets have you tried?*
How many meals are you currently eating per day?*
Are you currently tracking your calories/macros? If so, how much are you currently eating?*
How many hours a day are you sitting?
LIFTING : Do you weight train? How many days a week? How long are your sessions?*
CARDIO: What type? (eg. steady state/HIIT) How many days per week? How long are your sessions?
What do you struggle with most when it comes to your fitness and nutrition?*
How many hours of sleep do you get a night? Is it quality sleep or are you up much during this time?*
Are you open to tracking and lifting weights?*

YesNoMaybe
How do you currently feel about your body and overall health?
On a scale of 1-10 how committed are you to achieving your goal?*

1

2

3

4

5

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7

8

9

10

1 is Least Likely , 10 is Most Likely
Disclaimer

I am not a medical professional, and my coaching is not intended to diagnose, treat, prevent, or cure any disease or condition. The information and guidance I provide through strength training and macro nutrition coaching are for educational and supportive purposes only. My services are not a substitute for medical advice from a qualified healthcare provider. I will never make medical diagnoses, claims, or attempt to change treatment plans provided by your physician.My role is to support, guide, and hold you accountable as you work toward your personal health and fitness goals. Always consult with your doctor before making changes to your exercise routine, nutrition, or overall lifestyle.
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