JessCFit Online Coaching Application
If you are serious about working with me and you are ready to take the next step towards a healthier balanced lifestyle, fill out the application below.
Email address *
Fist and last name *
Phone number
Address *
Gender *
Age *
Height (Feet/Inches) *
Weight (Lbs) *
Occupation *
What would you like to sign up for? *
How would you like to pay? *
What is your main goal at this time?
Clear selection
List 1-2 long term goals (4-6 months)
How would you feel if you accomplished your goals?
Do you currently exercise?
How many workouts do you want per week? *
Are you working out at home or at the gym? *
If you are working out from home, do you have equipment? If so, what equipment do you have access to?
Briefly explain your eating habits *
Do you have any experience tracking macros?
If you are tracking macros, what are they? (Ex. grams of protein, carbs, fat, calories). How long have you been in a caloric surplus or deficit? What is your experience with tracking?
What are you looking for in a coach? Have you worked with a coach before? If so, how was your experience?
Anything I should be aware of?
How did you hear about JessCFit? *
Why are you committed to working with me at this time? *
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