Online Coaching Application

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Thank you for your interest in 1:1 Coaching! Let's get started:

1. Submit this application to make sure we're a good fit.

2. Keep your eye out for a text or phone call from me within the next 24-48 hours!

3. We'll hop on a quick call to discuss the info you share below so that I can learn how to best support you & your goals.

Email *

Name *

Email *

Phone Number *

What are your primary fitness goals? (Select all that apply) *

Weight loss

Muscle gain

Improve endurance

Increase flexibility & mobility

General health & wellness

Postpartum training

Pregnancy-safe training

Other

Required

Describe your current training routine. (Select all that apply) *

I follow a structured workout plan.

I workout sporadically

I'm new to training

I prefer group fitness classes

I'm experienced but looking for additional support

Other

Required

What does your current nutrition look like? (Select all that apply) *

I follow a specific diet (e.g. vegan, keto, carb cycling, etc.)

I try to eat healthy but struggle with inconsistency

I don't have a specific nutrition plan, I just eat what I want

I track my meals & macros

Other (please specific in the notes below)

Required

What equipment do you have access to? (Select all that apply) *

Home gym

I have a gym membership

Dumbbells

Resistance bands

Bodyweight only

I'm comfortable using most equipment at the gym

I'm open to what you recommend

Required

Which areas would you like to focus on? (Select all that apply) *

Strength training

Cardiovascular fitness

Flexibility & mobility

Nutrition & meal planning

Accountability & motivation

Other (please specify in the notes below)

Required

7. Do you have any medical conditions or injuries I should know about? (If yes, please specify)

What does your ideal training schedule look like?
*

1-2 days per week

3-4 days per week

5-6 days per week

Daily exercise / active recovery

What are your preferred training times?

Are you ready to invest in monthly training to maximize your results?
*

Yes, I'm ready to commit

I need more information

No, not at this time

Additional comments and/or questions.

Thank you for taking the time to complete this survey! I look forward to supporting you on your fitness journey!

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