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?
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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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