Applicaiton

1

Name

First Name

Last Name

2

Email

example@example.com

3

Phone Number

Please enter a valid phone number.

4

Age

5

Height

6

Current Weight

7

Location & Time Zone

9

Help me get to know you! (who are you, kids, job)

11

What are your top 3 goals in the next 3 months?

12

Why are these goals important to you right now?

13

Current training experience/level

Beginner (0–6 months consistent)

Intermediate (6–24 months consistent)

Advanced (2+ years consistent)

14

Describe your current training regimen, if any (steps, cardio, lifting program)

15

Are you preparing for a certain event/timeline?

16

How would you rate your nutrition consistency right now?(1 = all over the place, 10 = consistent most days)

17

Have you tracked macros before?

Yes and I’m comfortable with it

Yes but I struggle

No, I’m new to it

What are macros?

19

Typical sleep per night

<5 hours

5–6

6-7

7+

20

Stress level currently (1-10, 1 being low, 10 being always stressed)

21

Do you have any diagnosed medical conditions?

22

What has NOT worked for you in the past?

23

On a scale of 1-10, how ready are you to commit to change physically, mentally, and financially? (10 being fully committed)

24

Preferred start date

ASAP

Within the next 2 weeks

Within the next month

Within the next 3 months

25

If accepted, are you ready to communicate, follow the check-in system be open minded and be coachable?

Yes

No

26

How did you hear about me?

27

Anything else you'd like me to know?

28

Once submitted, I will review you application and reach out to book a consultation call (free!), what is your preferred method of communication?

Email

Text