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)
Your answer
Age *
Your answer
Instagram Account *
(@yourname)
Your answer
Sex *
What is your mobile phone number? *
(So I can text/call if needed)
Your answer
Where do you live? *
(City and State)
Your answer
What is the best email for me to reach you? *
(Preferably one that goes straight to your phone)
Your answer
What are your fitness/health/nutrition goals that you think I can help you with? *
(Select all that apply)
Required
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)
Your answer
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.)
Your answer
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!)
Your answer
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