Online 1 on 1 Coaching Application

This coaching application is the first step toward transforming your body and taking control of your health and performance. I work with men and women who are ready to put in the work—whether that means losing body fat, getting stronger, building muscle, or simply feeling better in their day-to-day life.

This isn’t a cookie-cutter plan. I provide custom training and nutrition coaching built around your lifestyle, schedule, and goals. Every plan is backed by science, experience, and a deep understanding of how to create results that actually stick.

If you’re ready to:

  • Stop spinning your wheels with random workouts and diets…

  • Learn how to train with purpose and eat without stress…

  • Get in the best shape of your life while building habits that last…

Then fill out this application in full. The more detail you provide, the better I can serve you. Once submitted, I’ll review your application and reach out to book a call if we’re a good fit to work together.


What I offer: 

  • Custom Training Programming (Gym or Home Gym Based)
  • Personalized Calorie & Macro Targets (With Periodization & Additional Guidance)
  • Weekly 1on1 Coaching Check Ins
  • Cardio Guidance
  • Ongoing Adjustments to ensure sustainable results
  • Direct access to me through my training app

 What I Expect from You:

  • You show up, even when motivation is low

  • You track your nutrition honestly and follow the plan to the best of your ability

  • You communicate with me consistently—no ghosting, no excuses

  • You take full ownership of your process and results

  • You commit to the full program and trust the process

Let’s build the strongest version of you—physically and mentally.

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Email Address *
First & Last Name *
Instagram Handle
How old are you? *
Current Height & Weight *
What is your Occupation? *
How long have you been training? Describe your current fitness level (Beginner, Intermediate, Advanced, etc) *
Are you familiar with the foundational movement patterns? (Squat, Hinge, Single-leg,Push,Pull) *
What does your current level of physical activity look like on a weekly basis? (Frequency/workout split, activities/current program) *
How many days will you be committing  to the gym? *
Where do you train? If you train at home, Please let me know the equipment you have access to.  *
Do you have any injuries or medical conditions that restrict you or limit your exercise? (Past or Recent)
 *
Do you use a Fitness Tracker (Apple Watch, Garmin, Whoop, Oura Ring, Fitbit, etc) *
If so, How many steps do your average per day? *
Are you familiar with Calorie & Macro Tracking? *
How many meals do you currently eat a day? (Snacks included)
If known, include current caloric intake.
 *
Any Dietary restrictions, allergies, or preferences? *
Has a Doctor recommended you to begin a Exercise/Nutrition Program? *
Please list ANY/ALL medications & supplements you take and why *
Thinking back to when you were in the best shape of your life, When was that & how did it feel? (Please list Age, Weight) *
What is different about Then Vs Now? (Routines, Habits, Mindset) *
Help me to understand your TOP 3 Fitness Goals.
Be as specific as possible.  (I.e. lose body fat, gain lean muscle, overall health)
 *
How important are these goals to you? *
What do you feel has kept you from reaching these goals? *
Are you ready to start your own Exercise & Nutrition Program? *
Coaching is not free, but I price it as affordably as I can make it, while providing all the value I can. That said, what would you be happy to pay each month of this coaching program? *
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