Snyder Physique Application
Hello visitors! This form is for those interested in lifestyle and wellness coaching provided by Snyder Physique. Thank you for your consideration and trust, especially with an aspect of life that is so important to us all. As soon as you fill out this application, I will get an email notification and will review your responses and then reach out!
Email *
Full Name *
Cell phone number: *
Home Address *
City, State of residence *
Birthdate *
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Height *
Current Weight *
Heaviest Adult Weight *
Lightest Adult Weight *
Estimation of current bodyfat level
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Are you looking for online coaching, or in-person services? *
How did you hear about me? *
Required
What is your specific nutrition/fitness related goal? *
What do you like to do in your spare time? Hobbies, activities, etc. *
What do you do for a living? *
Are you in agreement to being remotely coached through email and cell phone? *
Do you have the following payment resources? *
Required
On a scale from 1-10, please rate your commitment level to your goal. 1 being you just want to sit on the couch with a machine zapping your abs, and 10 being you will listen to what I say and take action to get the best results you possibly can. *
Not very committed
I will do whatever it takes!
Are you willing to invest $120-600 per month to achieve your goals? *
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