BUILTBY.DR Coaching Application
Apply for premium online coaching. Please answer thoughtfully so we can assess fit and create the right next step for you.
Basic Contact Details
Full Name
*
First Name
Last Name
Email Address
*
example@example.com
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Social Media Handle or Website
Training Goals
Primary Fitness Goal(s)
*
Fat Loss
Muscle Gain
Body Recomposition
Strength
Athletic Performance
Endurance
Mobility/Flexibility
General Health
Other
Other Fitness Goal
Current Struggles
What are your biggest current challenges?
*
Staying consistent
Sticking to nutrition plan
Lack of motivation
Lack of accountability
Not seeing results
Time management
Injuries or pain
Energy or recovery issues
Other
Anything else you'd like to share about what’s been getting in the way?
Training and Diet History
Have you worked with a coach before?
*
Yes
No
Not sure
What training style are you following currently?
*
Please Select
Strength training
Bodybuilding
Powerlifting
Cross-training
Running/Cardio-focused
Home workouts
Mixed program
Other
How consistent have you been with your nutrition recently?
*
Very consistent
Mostly consistent
Somewhat inconsistent
Very inconsistent
Lifestyle and Schedule
What best describes your weekly work schedule?
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Mostly 9–5
Shift work
Variable hours
Self-employed
Student
Unemployed
Other
What work or life demands may affect adherence?
Frequent travel
Long work hours
Night shifts
Caregiving responsibilities
Frequent social events
Unpredictable schedule
Other
How many days per week can you realistically train?
*
Which factors should we account for in your program?
Sleep issues
High stress
Low energy
Frequent travel
Limited gym access
Home workouts only
Injuries or physical limitations
Other
Budget and Willingness to Invest
What monthly budget range are you comfortable investing in coaching?
*
Please Select
Under $250
$250-$500
$500-$1,000
$1,000+
Not sure yet
How willing are you to commit financially to premium coaching if it is the right fit?
*
Very willing
Somewhat willing
Unsure
Not willing at this time
Urgency and Readiness to Start
When would you like to start coaching?
*
Please Select
Immediately
Within 2 weeks
Within 1 month
1-3 months
Just exploring
How urgent is your need for coaching right now?
*
Very urgent
Somewhat urgent
Not urgent
Just researching
Mindset and Coachability
What has been the biggest obstacle in past attempts, and what did you learn from it?
*
How do you respond when a coach challenges your habits, beliefs, or effort level?
*
Why do you believe you would be a strong fit for high-level coaching and accountability?
*
How They Found BUILTBY.DR
How did you hear about BUILTBY.DR?
*
Instagram
TikTok
YouTube
Google Search
Referral
Podcast
Website
Other
Other source (if applicable)
Apply Now
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