Coaching Application
This application is so I can get to know you a bit and make sure we are going to be a good fit!
What's your name? *
First and last name
Email? *
Age? *
What is your current weight and height? *
Phone #? (xxx)xxx-xxxx format. This will be used for your 1 on 1 coaching call if your application is approved! *
What is your number one health goal that you wish to reach in the next 6-12 months? *
How would it feel for you to achieve this goal? *
What is holding you back from reaching this goal? *
Why are you looking for a health coach? What are you looking for? (accountability, motivation, knowledge, etc.) *
Have you ever tracked macros? (or on a scale of 1-10 how familiar are you with tracking food?) *
Have you ever done weight training, and how familiar are you with it on a scale from 1-10? *
Do you currently take birth control? If so, what do you take? *
Do you currently experience bloating or gastrointestinal issues? If yes, please elaborate and let me know how frequently you experience this! *
Do you have any medical conditions or take any medications currently that I should be aware of? (i.e. blood thinners, asthma). *If you aren't sure, you can write them below or ask your doctor if exercise could effect you while taking them! *
Are you able and committed to making an investment in your health? If your application is approved, are you committed to showing up for a 1 on 1 phone call? *
Disclaimer: By submitting this form, you give Helen Newell Fitness LLC. permission to contact you using the information you have provided above, and you acknowledge that Helen Newell Fitness LLC. will not use your information for anything else outside of this correspondence.
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