Jen Swift Coaching Application

Welcome to Jen Swift Nutrition Coaching

Please fill out this form & hit submit. ‼️IMPORTANT PLEASE BE ON THE LOOKOUT FOR AN EMAIL FROM ME TO FOLLOW UP FOR A FREE 30 MINUTE CONSULTATION. 😊
Name

First NameLast Name
Email
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Instagram Handle
Please list your gender, age, height & weight
(F, 46, 5'3, 125)
Current Nutrition Habits
(tracking macros, using WW, etc.)
Any experience in tracking macros?
What are your current goals for the next 6 months?
What are your long term goals? What do you envision for the next year?
Areas in your life you are looking to improve on?
How serious are you when it comes to reaching your goals?
Tell me about your struggles.

Other
What do you spend most of your days doing?
(sitting at a desk job, standing, walking, etc.)
What is your current workout routine? Be specific.
(Lift weights 4 days a week, walk for 45 minutes each day & cardio 30 mins 3 days a week)
How many steps do you average on a daily basis?
What are you looking for in a coach?
(someone to hold you accountable, offer support, encourage you, offer a tough love approach)
Are you fully prepared to commit to this program in order to achieve your goals?
Please list any health conditions that may affect your program: (Ex: PCOS)
Is there anything else I should know about you? Please share, I'm here to help!
Current program information provided by Jen Swift Macro Nutrition Coaching is not intended to diagnose, prevent, treat or cure any health related problems. Please consult with your physician before starting this program. You must be at least 18 years of age. By selecting "YES" you agree to all the above terms.
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Welcome to Jen Swift Nutrition Coaching