Remote Coaching Application
Please answer the following questions to the best of your ability.
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Email *
Name *
What is your primary fitness goal? *
Do you exercise regularly? *
What types of physical activity do you enjoy doing?  (If any) *
Exercise experience *
What type of exercise and how often? *
Current training location/gym *
Please list all equipment that you have available *
Do you have any known health issues? *
Please list any past injuries or surgeries that may impact your ability to exercise *
Do you have any known allergies? *
Are you currently taking prescription medications? *
Please list all allergies and current medications
Occupation *
How many hours of sleep do you get/night *
Briefly describe your energy levels throughout the day *
Do you have any known food Intolerances? *
Have you ever had nutritional coaching before? *
What previous diet/nutrition plans have you followed? *
Are you planning to lose, maintain, or gain weight while training with us? *
Is there anything else you would like for me to know prior to our call? *
A copy of your responses will be emailed to the address you provided.
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