Apply to Work With Us
Thank you for your interest in working with me! I’ve specialize in helping Southerners reach their fat loss goals without sacrificing our culture. 

Complete this 5-minute application and I’ll reach out to you with more information about my program works!
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Email *
Name *
Phone Number *

Describe your top 1-2 goals that you are currently working on in your health & fitness.

On a scale of 1-5, how important is it for you to reach these goals?

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Why did you choose the number you chose in the last question?

Where are you getting stuck right now on your own? Why are you wanting help now?

How old are you?

What is your height?

What is your weight?

Do you have a goal weight?

What are the top 1-2 things you do on a monthly basis that negatively impact your health and fitness goals?
How often do you eat meals out? (Includes coffee, breakfast, lunch and dinner)
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If you found a program that was exactly what you are looking for, are you in a place in your life where you are able to make a financial & time investment and commit for at least 16 weeks to becoming the best version of yourself, physically and mentally?
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How much are you willing to invest in your goals? 
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If you are accepted, how soon would you want to get started?

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Thank you! I will be reviewing your application and reaching out to you shortly with the next steps.

How did you hear about this coaching program?

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