Jay Saulwas | 1:1 Coaching Application

1

What's your #1 fitness goal right now?* This field is required.

Getting more explosive and faster

Lose weight / fat

Feel and look good overall

Put on lean muscle and size

2

What changes in your life once you actually hit that goal?* This field is required.

3

What's the single biggest thing holding you back right now?* This field is required.

4

What have you tried in the past to reach your goals?* This field is required.

5

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

Yes

No

6

How soon do you want this handled?* This field is required.

This week — I'm ready now

This month

In the next 1–3 months

Just exploring for now

7

On a scale of 1–10, how committed are you to changing — based on your actions, not your intentions?* This field is required.

1
2
3
4
5
6
7
8
9
10

1

10

8

Can you commit to training 3–5 days per week with a custom 1:1 plan?* This field is required.

Yes

No

9

If it's the right fit, what are you able to invest in yourself right now?* This field is required.

Not in a position to invest right now

Under $500

$500–$1,000

$1,000–$2,000

$2,000+

10

If you're selected, are you willing to hop on a brief call to map out your next steps?* This field is required.

Yes

No

11

Name* This field is required.

First Name

Last Name

12

Email* This field is required.

example@example.com

13

Phone Number* This field is required.

Please enter a valid phone number.