Coaching Application

Coaching Application

Please fill out this form to the best of your ability & I will get back to you shortly. I look forward to hearing from you!
Full Name*

First NameLast Name
Email Address*
example@example.com
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
MaleFemale
Age*
Current Height*
Current Weight*
What is your primary fitness goal right now?*
BeginnerIntermediateAdvancedOther
Sedentary -- mostly sitting, not moving much throughout the dayLightly Active -- moving around a bit doing household chores, etc.Active -- on your feet & moving most of the dayVery Active -- on your feet & moving all day
Do you currently have a step goal or do any cardio? If so, how much & how often?*
How many days per week do you resistance train right now?*
How many days per week can you realistically commit to resistance training?*
Do you currently track macros or follow a meal plan? If so, please list current macros/meal plan.*
Do you have experience tracking macros or following a meal plan? *
Do you have any medical conditions, injuries, or limitations I should know about? *
Please list any/all medications & supplements you are currently taking.*
Why do you want to hire a coach? Is there anything specific you are hoping to gain from a coach/client relationship? *
Is there anything else you want me to know about you right now? Share anything that will help me get to know you!