Welcome

1

Name

First Name

Last Name

2

Best email to contact you?

example@example.com

3

Best phone number to reach you?

Please enter a valid phone number.

4

What is your age?

5

What is your occupation?

6

what is your current activity level?

none, I spend most of my day sitting (less than 5000 steps per day)

i am active 3-5 days a week and spend a large amount of my day on my feet (less than 10,000 steps per day)

i am very active 6-7 days per week and have a physically demanding job (more than 10,000 steps per day)

7

What is your weight training experience?

I have no experience weight training

i have been weight training less than 2 years

I have been weight training greater than 2 years

i have been weight training greater than 5 years

8

How often do you currently weight train?

i do not weight train

i weight train 1-2 days per week

i weight train 3-5 days per week

I weight train 6-7 days per week

9

What are your current diet/nutrition habits?

Very poor! Help!

some good days, some bad days - very inconsistent

i eat “healthy” but lack the knowledge or motivation to reach my goals

great! I track macros and follow a consistent meal plan

10

Which category of coaching are you interested in?

general nutrition

functional nutrition

competition prep

competition off season

11

Why are you interested in hiring a coach?

12

What’s your number 1 goal right now?

13

What’s the cost of not solving this in the next 3-6 months?

14

On a scale of 1-5, how ready are you to make a financial investment in your health?

1- still thinking, 5- beyond ready

15

If we’re a good fit, are you prepared to start in the next 7 days?

16

How did you hear about me?referred by friend, instagram, facebook etc.