1-on-1 Fitness/Nutrition Coaching
So, you want to gain muscle, lose fat, or transform your body...you've come to the right place!

I'd love to help you reach your fitness goals, but I need some more information from you before we can get started.

This questionnaire will take between 5-10 minutes to complete, but it's REALLY important that I know as much about you as possible. Please be as detailed as possible with your responses!
Name *
(First and last name)
Age *
Instagram Account *
Sex *
What is your mobile phone number? *
(So I can text/call if needed)
Where do you live? *
(City and State)
What is the best email for me to reach you? *
(Preferably one that goes straight to your phone)
What are your fitness/health/nutrition goals that you think I can help you with? *
(Select all that apply)
Why do you want to work with ME? I know what your goals are from the previous question, but why do you think that I am the right coach to help you reach them? *
(There are a lot of fitness/nutrition coaches out there and I want to know why you'd like to work with ME instead of someone else)
What do you expect to get from working with me as your fitness coach & accountability partner? *
(Please be as specific as possible. I'd love to know exactly what you expect so that I can give you exactly what you need.)
I only work with people who are ready to make a serious commitment to improve their fitness, nutrition, health, and/or mindset. Please select the phrase that best describes you right now. *
(Select the statement that best describes you)
On a scale of 1-10 (1 = I'm completely satisfied with where I am right now, and 10 = I'll do anything to reach my goals) where are you right now? *
Can you tell me some other things about yourself that I might find interesting or helpful?
(This is just so I can get to know you better. Feel free to write as much, or as little, as you want. Anything about your family, hobbies, hidden talents, sports background, etc. is welcome!)
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