1:1 Nutrition Coaching Application

The purpose of this application is to best understand where you're currently at in your fitness journey, and see how I can help you in reaching the next level.

Looking forward to working with you!

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What is your first and last name?
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What is your email address?
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What is your phone number?
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How did you learn about coaching?
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Were you referred by anyone? If yes, please list their name here.
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What is your age?
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How tall are you? (i.e. 5'4)
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What is your current weight (lbs)? 
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What city and state do you live in? (Please also add your timezone)
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What area(s) would you like to improve in? Which of the following do you struggle with? 
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What is your primary fitness goal?
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What has been the biggest struggle in reaching that goal?
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What have you tried in the past to reach this goal? Why was it ineffective?
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Why do you think you would benefit from working with me? What are you looking to gain from coaching?*
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