Physiqonomics Coaching Application.
Please answer all questions in as much detail as possible and then hit the blue "Submit" button. I'll get back to you within 2-3 working days.

** These questions are for my purposes only and your answers will never be shared.**
About you
Full Name *
Your answer
Email *
Please double check this is correct because I'll be reaching out via email.
Your answer
Where do you live? (city/country) *
Your answer
Gender *
Age (note: my 1:1 program is only for people over the age of 23) *
Your answer
What's your occupation? *
Just trying to get a gauge of how sedentary or active you are; if you control your schedule; if it’s a high-stress job, etc. as these things will change how I program for you.
Your answer
Your current stats
Weight (Pounds) *
Your answer
Height (feet and inches) *
Your answer
What's your current body fat% (an estimate is cool)
Your answer
What type of coaching are you looking for? *
Goals
What's your main goal? *
What would you like to achieve by working with me?
Your answer
What's your biggest struggle when it comes to achieving this goal? (Said another way: what's preventing you from already having achieved your goal?) *
Your answer
What's motivated you to make this change now? *
Your answer
Why do you think I, specifically, can help you achieve your goal? *
Your answer
Past experience
Have you worked with an online coach before? *
IF YOU ANSWERED "NO" TO THE ABOVE: Have you used a program in the past to help you achieve your goal?
If you've used a program – what program did you use?
Your answer
Current Training
Are you currently training consistently? *
What does your training currently consist of? *
Weight lifting, crossfit, running, etc.
Your answer
Nutrition/diet stuff
Do you have any nutritional preferences? *
Basically do you only eat paleo, low carb, keto, the hearts of your enemy. I need to know this.
Your answer
Do you currently track your calories and macros? *
If you answered "No" to the above, are you willing to track your calories and macros?
I only work with people who will track their food intake. If you aren't willing to do this then we're not a good fit and I suggest working with someone else.
Health/injury history
Any injuries or health concerns I should know about? *
Your answer
Misc.
Are you 100% committed and serious about achieving your fitness goals or are you simply trying to throw money at your problems? *
Coaching isn't magic and won't work unless you do -- so if you can't completely commit to this yet, then I suggest applying once you can give it your all
If you were referred to coaching by an existing client, what's their name?
Your answer
Lastly, where did you hear about Physiqonomics? *
Your answer
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