Apply for 1:1 Online Coaching with Me!
Let’s get you closer to your goals—tell me a little about yourself!🌷
Name
*
First Name
Last Name
Age
Email
*
example@example.com
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
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Fitness Goals & Routine
What are your current health/ fitness goals?
*
On a scale of 1–10, how committed are you to achieving your goals? Why?
*
What is your current workout routine like (if any)?
*
Do you have access to a gym, or will you need a home-based program?
*
What does your current nutrition look like? (Briefly)
*
How many days per week are you realistically able to work out?
2
3
4
5
Other
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Lifestyle & Support
What’s the biggest challenge stopping you from reaching your goals right now?
*
Have you worked with a coach or trainer before? What was that experience like?
*
What are you most interested in?
*
Workouts
Meal Plan
Posing
Other
Are you ready to invest financially, mentally, and emotionally into becoming the best version of yourself?
*
YES🤝🏽 – I’m ready to level up
Maybe🧐 – I need more info
Not right now☹️
Other
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Final Details
Is there anything else you’d like me to know? (Injuries, Dietary Preferences, etc.)
How did you hear about my coaching program?
Please Select
Instagram
Tiktok
Other
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