Ready to Finally Get Strong?
Go ahead, answer a few questions to see if we are a good fit for each other. After you submit your answers I will contact you via phone and email within 24 hours to follow up.

This form is specifically for ONE-ON-ONE ONLINE TRAINING.
Email *
Name *
Phone number *
Age *
You're here for one-on-one online training, right? *
Which best describes your current physical condition? *
What do you currently do to stay fit and what have you done in the past? *
Currently
In The Past
Never Tried
Boutique bootcamps (F45, Orangetheory, Fit Body Bootcamp, etc)
Boutique fitness (Yoga Six, Club Pilates, Cycle Bar, etc)
Group classes at gym chain (Zumba, sculpt classes, cardio dance, etc)
Member of a gym or health club (LA Fitness, EOS, Lifetime, etc)
One-on-one training in-person with a trainer
Online training with a coach/trainer
Paid subscription to a fitness app or website
Something else (explain in next question)
If applicable, please explain "Something Else" response
What injuries do you currently have or had in the past? *
What is your goal? *
Pick your most important goal you would like to work on right now.
If you answered "Other," please explain.
When would you like to accomplish this goal? *
Please put a date or time frame.
Check the box(es) of any strength goal that you would like to accomplish or have already accomplished? *
Have Already Accomplished
Would Like To Accomplish
Not Interested
One, real chest-to-the-floor push up
15 consecutive chest-to-the-floor push ups
One pull up
5 consecutive pull ups
Back squat your body weight for 1 rep
Full pistol squat/single leg squat
Deadlift your body weight for 1 rep
Are there any other strength goals that you would like to accomplish?
Are you interested in nutrition coaching? *
Do you have any eating or food restrictions? *
Required
Why do you want to start changing your life with fitness and nutrition? *
Why do you think I can help you reach your goal? *
How did you find me? *
One-on-one coaching starts at $149 per month. Are you ready to invest in your health?
Clear selection
Is there anything else you would like to tell me?
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