New Client Application

1

Name* This field is required.

First Name

Last Name

2

Email* This field is required.

3

Instagram Username* This field is required.

4

Location* This field is required.

5

What is your main health and fitness goal?* This field is required.

6

How would you rate your current gym experience?* This field is required.

Beginner (New to structured training)

Intermediate (Some experience, still refining technique)

Advanced (Comfortable with training and technique)

7

Have you ever worked with a coach before?* This field is required.

Yes

No

8

If yes, what was your experience like?

9

Have you ever tracked your food, followed a meal plan, or used flexible dieting before?* This field is required.

10

How would you describe your current relationship with food?* This field is required.

Struggling with emotional eating

Needs improvement

Balanced

11

Is there anything else I should know about your lifestyle, training history, or specific challenges?

12

What budget would you be willing to spend per week to achieve these results? (you can chose multiple)This helps me decide which plan will be best for you. Obviously the cheaper the plan, the less assistance and more reliance on yourself to get you there VS a more premium plan will get you towards those results!

$0-20

$20-50

$50-75

$75-100

$100+