1 on 1 Coaching Application

1
Name* This field is required.
First Name
Last Name
2
Email* This field is required.
example@example.com
3
What is your main goal right now?* This field is required.
Gain muscle
Lose fat
Improve movement/athleticism
Other
4
Where are you currently at?* This field is required.
Starting from the beginning
Started recently, still long way to go
Almost there
Other
5
What has been your biggest struggle?* This field is required.
Motivation
Planning/Knowledge
Time
Injury
Other
6
Why is now the right time for you to make a change?* This field is required.
Huge
Large
Normal
Small
Ok
Ok
7
On a scale of 1-10: How serious are you about investing in yourself?* This field is required.
8
If accepted, how soon can you start?* This field is required.
Right now
1-2 weeks from now
2+ weeks from now
Other
9
Please sign below to acknowledge the disclaimer* This field is required.Disclaimer: This coaching is for educational and informational purposes only and is not medical advice, physical therapy, or a substitute for care from a licensed healthcare professional. You should consult your doctor or other qualified provider before starting any new training or nutrition program, especially if you have existing injuries or medical conditions. By continuing, you acknowledge that you’re training at your own risk and agree that I’m not responsible for any injuries or issues that may arise.
10
Let's schedule a call* This field is required.
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