Butzer Peak Fitness and Performance 1:1 Coaching Application

1

Name

First Name

Last Name

2

Email

example@example.com

3

Phone Number

Please enter a valid phone number.

4

How long have you been working out?

I am brand new!

1-2 years

2-4 years

5+ years

5

What has your fitness journey looked like so far and what are your current struggles?

6

What are you looking to get out of working with me and what are your goals?

7

Butzer Peak Fitness and Performance is extremely selective of whom it brings onto the team. What makes you a good fit to join us?

8

Are you 18+ ?

YESNO

9

Are you currently employed?

YESNO

10

If you are employed what is your average monthly incomeall information is kept private

$0-$1000

$1000-$3000

$3000-$5000

$5000+

11

You are applying to be coached directly by Macallan. Due to high demand for our services, it is crucial that you understand your are applying for a PAID coaching service. How willing and able are you to make a financial commitment for your success and goals?

12

Please select a time frame for a FREE 45-minute onboarding callif you are selected, you will be contacted for confirmation of your call