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. **
Personal Deets
Full Name *
Your answer
Email Address (careful about mistyping) *
Your answer
What's your Instagram handle? (i.e., @mattmcleod6)
Your answer
Gender *
Weight *
Your answer
Age *
Your answer
Goals & Obstacles
List 1-2 short-term goals (next 12 weeks) *
Your answer
What are your biggest obstacles for not reaching these goals right now? *
Your answer
What happens if you DON'T get into the shape you want? What are the consequences for not reaching these goals? *
Your answer
How often do you currently lift weights *
How would you rate your current level of fitness? *
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? *
Please name the person who referred you to my coaching/website (optional, obviously)
Your answer
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.)
Your answer
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? *
Are you ... down for a Silly Goose Time? (REQUIRED) *
Never submit passwords through Google Forms.
This form was created inside of McLeod Consulting Services. Report Abuse