Carrots 'N' Cake 1:1 Coaching Application
This questionnaire should only take about 10 minutes to complete. Consider it your first coaching step and an investment in yourself!
Email address *
First name *
Your answer
Last name *
Your answer
Address (street, city, state, zip) *
Your answer
Phone number *
Your answer
Birthday (Age) *
Your answer
Gender *
Occupation *
Your answer
What's your current activity level? Please tell me about your typical exercise routine (i.e. type of exercise, duration, days per week). Please be as specific as possible. *
Your answer
What are your goals? Please be as specific as possible (i.e. lose weight, add muscle, look and feel better, learn how to stay consistent, have more energy, etc.). *
Your answer
What are your biggest struggles when it comes to healthy eating? Please check as many as apply. *
Required
On a scale of 1-10, how knowledgeable are you now about making smart food choices? *
I know very little
I'm a nutrition expert
What nutrition programs or diets have you tried in the past that have not worked? *
Your answer
Are you currently pregnant? *
Required
Are you currently post-partum, breastfeeding, or trying to conceive? *
Your answer
Do you have a diagnosed health problem? If so, please elaborate. *
Your answer
Have you track macros in the past? *
What do you REALLY want to achieve in going through coaching? *
Your answer
Why haven’t you achieved your goals already? What’s blocking you? *
Your answer
What awesome things might happen to you if you did make progress? *
Your answer
If we decide to work together, we're going to be spending a lot of time together, and I'm going to do everything I can to get you the results you want. So, I need to know, on a scale from 1-10, how committed are you to achieving your goals? *
Not committed
I'm ALL IN. Let's do this!
Anything else you'd like for me to know?
Your answer
How'd you hear about Carrots 'N' Cake Nutrition? *
Your answer
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