Coaching Questionnaire
Please fill out to the best of your ability. I will reach out within 2 days to go over details and confirm when we'll get started. 

If you would like faster response and direct information please contact me at (402) 990-5674 or

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Email *
Phone number
Preferred contact method *
Your name *
Age group *
Which area(s) would you like to focus on? *
Select all that apply:
Do you have any experience with the above selection(s)? *
Do you have any equipment? *
How many days can you train per week? *
What does your weekly availability look like? Please provide dates and times.
Would you like any additional info regarding diet and lifestyle? If so, we'll set up time for further discussion.
Clear selection
Would you like me to provide additional resources about the specific topics you're interested in?
Clear selection
When can we get started?
How did you find out about us?
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