1:1 Nutrition Coaching Application

AK Fitness 1:1 Nutrition Coaching Application

Thank you for your interest in 1:1 nutrition coaching! After you submit your application you can expect to receive an email from me within 24 hours to see up a free initial consult call to make sure we are a great fit to work together.
PLEASE READ FIRST:

Please only fill out this application if you are serious about working together. Once completed, I will reach out to you to set up a complimentary application call and by providing your information below you confirm you will be ready to respond within 48 hours of me reaching out in order to secure your spot!

*All 1:1 coaching requires a 4 month (16 weeks) minimum commitment*
Name*

First NameLast Name
Email*
example@example.com
Phone Number*
Please enter a valid phone number.
Age*
Weight*
Height*
Instagram Handle*
Where are you located? *
I am interested in:*

1:1 Nutrition Coaching1:1 Nutrition & Fitness Coaching (custom strength program)
What is your experience with macro tracking?*

Beginner- I've never tracked beforeSome expertiseI track but not consistentlyExperienced tracker
Goals (check all that apply)*

Fat LossMuscle BuildingLifestyle ChangeBuilding a good relationship with foodFinding a balanced lifestyleOther
What do you hope to accomplishment in the next 6-12 months when it comes to your health & fitness goals? Why are these goals important to you? *
What does your current nutrition look like? *
What does your current workout routine look like? How many days a week are you working out? *
Have you worked with a dietician or coach at any capacity in the past? What did you like or dislike about the program?*
Are you currently?*

PregnantPostpartumBreastfeedingTrying to conceiveNone of the above
How did you hear about AK Fitness & Nutrition? If referred by a past client please share their name. *
If you were able to find a way to lose your desired amount of weight and reach your health goals through our online nutritional and fitness coaching program, would you be willing— and able —to invest in the help necessary to get there?*

Yes - I have the cash flow to invest in myself.Yes - I may or may not have the cash flow, but I'm resourceful or have access to credit.No, my cash flow is month-to-month, and I have no access to credit.
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AK Fitness 1:1 Nutrition Coaching Application