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. 1:1 Coaching requires a commitment. Please only fill out this application if you are serious about working together.
Name
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First Name
Last Name
Email
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example@example.com
Phone Number
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Please enter a valid phone number.
Format: (000) 000-0000.
Age
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Weight
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Height
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Instagram Handle
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Where are you located?
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I am interested in:
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1:1 Nutrition Coaching
1:1 Nutrition & Fitness Coaching (custom strength program)
What is your experience with macro tracking?
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Beginner- I've never tracked before
Some expertise
I track but not consistently
Experienced tracker
Goals (check all that apply)
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Fat Loss
Muscle Building
Lifestyle Change
Building a good relationship with food
Finding a balanced lifestyle
Other
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?
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What does your current nutrition look like?
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What does your current workout routine look like? How many days a week are you working out?
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Have you worked with a dietician or coach at any capacity in the past? What did you like or dislike about the program?
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Are you currently?
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Pregnant
Postpartum
Breastfeeding
Trying to conceive
None of the above
How did you hear about AK Fitness & Nutrition? If referred by a past client please share their name.
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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?
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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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