Let's Talk
Email address *
Your Name: *
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Where are you located? (City, State/Province, etc.) *
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Are you getting ready for a specific date?
Why is now the right time for you to contact me?
Your answer
Provide details about your past Fitness and nutrition Endeavours ie. past competition experience, Past diet styles
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What are your vital stats?
(Age, height, weight, gender.)
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What are your current biggest challenges right now with fitness/nutrition/lifestyle?
Be as detailed as possible.
Your answer
In your own words, why haven't you hit your goal yet?
Be brutally honest here, or I can't help you.
Your answer
What are your expectations from me, your coach? If you have used a coach in the past, what was your experience like?
Your answer
What do you do for a living, and how many hours per day do you work?
Are you sedentary? Do you have a long commute? Is your job high-stress?
Your answer
Your yearly income level
Rate your WORK-LIFE balance on a scale of 1-10
Not balanced at all
Perfectly balanced
Rate your DAILY FOCUS on a scale of 1-10
Not focused at all
Extremely focused
How much money have you spent on things that DIDN'T work?
Supplements, gym memberships, exercise equipment, etc.
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Your Skype Name
Add me at megamartymcfly
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How did you hear about me?
Paste your Facebook profile URL
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