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1:1 Nutrition Coaching Form
Application for MCR Nutrition & fitness coaching. 1:1 Nutrition coaching is remote based. 

MCR Nutrition & Fitness is designed for individuals ready to build sustainable habits, improve performance, and create long-term results through communication, accountability, and consistency. We are not a quick-fix program.

 This program is all about helping you get to your desired goals the right way. Please understand this is not a quick fix program and majority of my clients stay with me 1+ years. 
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What's Your name?
Email 
Phone Number
Where are you from? ( Country, State/province, City)  *
Whats your Instagram @? *
How did you hear about me? Who can I thank for the referral? 
What made you apply for coaching specifically right now? *
What Is your Primary Goal? *
What does success look like to you over the next 6–12 months? *
What Is your current Employment status? *
Whats your level of Nutrition Understanding *
What type of training are you currently doing? How many days per week are you training? *
Have you worked with a nutrition coach before? *
Have you ever tracked macros or food intake before? *
How would you describe your current relationship with food? Do you struggle with: 

 *

Results require consistency, communication, and honesty. On a scale of 1–10, how ready are you to fully commit to making changes right now?

 *
Not Ready
I know I'm Ready
What do you feel has held you back from reaching your goals in the past? *
Have you ever quit a coaching program before? If yes, why? *
Coaching is an investment in both time and finances. If we feel like this is a great fit on both sides, are you prepared to invest in professional coaching support? *
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