Client Application

Name

First NameLast Name

Gender

Age

Location (City, Country)

e.g. Los Angeles, USA

Email

example@example.com

Phone Number

Please enter a valid phone number.Format: (000) 000-0000.

Instagram Handle (optional)

How would you prefer to be contacted

Occupation

Which form of coaching are you interested in?

What is your current goal?

e.g. Weight loss, Body recomposition, Muscle gain, Health, etc

What has motivated you to get started?

On a scale of 1-10, how would you rank your current fitness level? (1-low fitness, 10-super fit)

Do you track your steps?

e.g. 5k steps per day, 10k steps per day

Have you worked with a trainer before?

If you answered yes above, what were some things you liked or did not like about your previous training experience?

Do you have any past injuries/medical conditions I should know about?

Do you track calories and/or macros?

If you are interested in nutrition coaching, do you have any dietary restrictions/intolerances?

My coaching program is designed as a 12-week commitment, ensuring the time needed to see real, lasting results. Are you ready to make that commitment?