1:1 Online Coaching Application
This is where you fill out your info and then we dominate life together. After you submit your response, I'll get back to you within 2-3 working days.

** I'm not a dick, so these responses will never be shared and only viewed by me. **
Sign in to Google to save your progress. Learn more
Personal Deets
Full Name *
Email Address (careful about mistyping) *
What's your Instagram handle? (i.e., @mattmcleod6)
Gender *
Weight *
Age *
Goals & Obstacles
List 1-2 short-term goals (next 12 weeks) *
What are your biggest obstacles for not reaching these goals right now? *
What happens if you DON'T get into the shape you want? What are the consequences for not reaching these goals? *
How often do you currently lift weights *
How many years of experience do you have lifting weights? *
Which form of coaching do you need? *
Other Stuff
How did you hear about me and my coaching? *
How long have you been following me? *
What's your biggest vice in life? Mine = bourbon on weekends.
Please name the person who referred you to my coaching/website (optional, obviously)
Anything else you want me to know? (something I want YOU to know: the unicorn is the national animal of Scotland. Yep, look it up.)
Are you in a financial position to invest in yourself and your health? *
Are you 100% willing to commit your FULL effort to being an online coaching client? *
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of McLeod Consulting Services. Report Abuse
Google Forms