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1 on 1 Coaching with Emily
You have goals + desires, and you feel like if you just had the right strategy, accountability, and support system you could definitely achieve them, RIGHT?

I get it, I remember that feeling, because 12 years ago, I was in your shoes!

You're confused about where to start.

You're tired of "starting over"

You're hesitant to try anything new, fearing it won't work *AGAIN*

... but this time, it will.

because I create programs that are tailored to YOU and I give you the accountability and support you need.

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Custom workouts, questions answered, personal nutrition hacks, accountability, and the transformation you have been dreaming of that will actually LAST is truly JUST AROUND THE CORNER!

Designed to fit YOUR schedule, environment, and lifestyle!



LET'S DIVE IN!
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Email *
Name, Instagram, Phone Number *
Shipping Address for your goodie box (1:1 Program Clients)
Let's talk goals. What is the main fitness/nutrition goal you would like to accomplish? *
Do you have a specific date you would like to achieve this by? *
How would you describe your fitness experience and knowledge. *
How would you describe your nutrition experience and knowledge. *
Have you ever tracked your macros before? If yes, briefly explain where your got your numbers, how you tracked etc *
Are you looking to: *
Required
What specific areas of your body do you feel the need to focus on? *
What are your expected barriers or struggles? ex. working long hours, *
Do you have any past or current injuries? *
Are you pregnant, postpartum, or trying to concieve? *
Have you ever had a personal trainer or nutrition coach before? *
How often are you currently exercising? *
0-1 days per week
5-7 days per week
What types of exercise do you do? If none, write N/A *
What equipment or gym setting do you have access to for workouts (if any) *
Describe how you currently *feel* right now *
What will this transformation do for you/mean to you/how would you like to feel? *
Do you consider your current lifestyle *
low stress/anxiety
high stress/anxiety
How many hours of sleep to you get each night on average? *
Current Weight *
Current Height *
Dietary Restrictions *
Required
Activity Level *
Not Active
Very Active
Amount of time you can commit to exercise and movement 2+ times per week? *
What does your typical diet look like? Favorite foods? Least favorite foods? Known sensitivities? *
Have you ever struggled with disordered eating? *
Do you typically skip any meals? *
Typical beverages you consume in a day? *
Do you drink or smoke? If so, how much and how often. *
Date Of Birth *
MM
/
DD
/
YYYY
Time Of Birth
Time
:
Place of Birth *
Are you ready to make an investment in yourself and your health? *
Anything else I should know about you before our first call together? *
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