First Step To Results  
Take some time to fill this out so we can figure out if we're a good fit to work together! The only rule is you must answer it honestly! 

There will be no judgment from me. If you are nervous about where you are starting out. Just know I was 100 pounds overweight and my diet used to consist of 90% pizza rolls and fast food.

Looking at where you are currently are will give me an idea of how to best help you on our call. 

Congrats on taking the first step towards getting the results you want!
Sign in to Google to save your progress. Learn more
Name  *
E-mail address *
Age *
Phone Number *
Gender *
Job/Career *
Where you currently live? (City, State) *
What are your training and/or nutrition goals? (ex. build muscle, build strength, lose weight, feel better, increase energy, etc.) *
Explain why you chose the goals above and why they're important to you.  *
What makes now a good time to focus on these goals? *
What level of training experience do you have? *
How committed are you to getting the results you want at this moment?  *
What has been your biggest challenge thus far with health and fitness? *
Any other information, concerns, or interesting things I should know to help me understand you more?! (Feel free to write as much or as little as you want here!)
What things are you looking for in a coach?  *
Lastly, after you complete this application I will reach out to you see if I can help. Do you to commit to showing up for a call? *
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report

Google Forms