MOVE WITH MAYA: Expression of Interest: Health & Fitness Coaching
Name
First Name
Last Name
Mobile number
-
Area Code
Phone Number
Instagram handle (so we can be IG friends hehe)
What are you struggling with?
Feeling lost: Unsure where to start when it comes to training to achieve my goals
Confidence in myself: I want to feel my most confident self, both in and out of the gym!
Staying committed to my goals: I want to learn how to stay committed to my goals.
I never get results I want: I want to achieve my best results and learn how to keep them!
NUTRITION AND TRAINING HISTORY: Tell me more about you!
Have you followed a meal plan or macros before?
Meal Plan
Macro / My Fitness Pal
None
NUTRITION: Describe your day on a plate! More information here, the better!
What is your current fitness level?
Never trained before
Light movement: Pilates, walking, no weight training
Less than 6 months weight training
Over 6 months weight training
Other
Have you worked with a coach / personal trainer before?
Yes
No
COACHING COMMITMENT
Are you willing to commit a minimum of 12 weeks to achieve your goals?
YES, I'm ready for the change!
I am not willing to commit to my goals
Submit
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