Nutritional Coaching Strategy
JS7 Fitness Solution will connect with you and develop a realistic personalized action plan to help you make powerful, long term change in your life.

We'll look at where you are, where you want to go, and how to overcome the roadblocks keeping you from getting there.

IMPORTANT: The more detail you can provide for me in your booking application, the better I'll be able to serve you on the call.
Email *
Name (First, Last) *
Phone Number *
Today’s Date *
MM
/
DD
/
YYYY
Influential Factors
There are multiple factors that influence which nutritional methods and physical activities best suit you and your desires.

The below questions will help us narrow those methods/activities down for you.
Age *
Height *
Weight *
How did you hear about JS7 Fitness Solution? *
Required
What is holding you back from the results you want? *
Required
On a scale from 1-5 (1 Horrible, 5 Beyond Exceptional) where would you rank your BODY? *
Required
If I could achieve one result in the next 6 months and be thrilled, it would be... *
Required
What areas would you like to improve upon? (Check all that apply) *
Required
Do you experience any of the following? (Check all that apply) *
Required
Our approach may be different depending upon where you at in life. What best fits you? *
Required
Are You SELF-EMPLOYED (aka You can control your monthly income) *
Required
What industry are you in? *
Why are you interested in working One-On-One with Me? *
What would the ideal success mean for you if we worked together? (Please be specific) *
Why are you the ideal person for this opportunity to work with me? *
On a scale from 1-5 how motivated are you to experience these changes in your life? *
Required
Fill in the blank - I am... *
Required
If you answered Excuse Maker or Procrastinator are you ready to change your patterns? *
Required
Are you serious about this opportunity and willing to make the financial investment on One-On-One personalized coaching? *
Required
Is there anyone, besides you, involved in this decision? *
Required
A copy of your responses will be emailed to the address you provided.
Submit
Never submit passwords through Google Forms.
reCAPTCHA
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy