Request edit access
JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Coaching Application
Congratulations for taking the first step to change your life. Fill out the following few questions so we can get clear on your health and fitness goals and best prepare for our upcoming call.
Sign in to Google
to save your progress.
Learn more
* Indicates required question
What's your name?
*
Your answer
Drop the basics: age, weight and height.
*
Your answer
What is something that most people don't know about you?
*
Your answer
Which best describes your current reality?
*
I am exercising and eating well but not seeing any results.
I don't currently have a fitness or nutrition routine and need help getting started.
I have more than 20 lbs to lose
I am on a GLP1 and need help building muscle and eating better
I'm looking to lose between 5-10 lbs but add muscle
Other:
Required
What would make you feel most accomplished in 90 days?
*
Seeing at least 5-10 pounds of fat loss.
Having a better understanding of exactly what to do in the gym and how to fuel my body. I understand results take time.
Having more confidence in the gym. My consciousness holds me back.
Improving my relationship with food. I struggle with obsessive thoughts, restriction and binges.
Getting a gym routine that is sustainable and motivating.
Required
Do you have a current fitness routine? If yes what are you doing? If no, would you like help with starting one?
*
Your answer
Do you have any children? Are you married?
*
Your answer
Why is now a good time to put energy and attention to prioritizing your health and fitness?
*
Your answer
Have you ever worked with a coach before? How was that experience?
*
Your answer
Are you prepared to commit to 90 days of coaching in order to change your life and finally see the results you're after?
*
YES, I'm so excited to get started.
YEP, I just want more details.
I THINK SO, but I am nervous to take the next step.
NO. My health is not a priority right now.
You understand that this is an investemt and is not a free program. If I am the right fit for you, will you be ready to invest in yourself?
Yes I understand and will be ready to invest if it's a god fit for me.
Money is tight and I will likely not invest. I just want to know more.
What's your email?
*
Your answer
What's your phone number?
*
Your answer
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. -
Terms of Service
-
Privacy Policy
Does this form look suspicious?
Report
Forms
Help and feedback
Contact form owner
Help Forms improve
Report