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My coaching is personalized, so be as detailed as possible in your responses.

Full Name *

Phone *

Date Of Birth

Email *

Instagram @

Gender *

Male

Female

What is your occupation and how many hours per week do you work? *

How has this negatively impacted your health and fitness goals? *

What are your main fitness goals (select all that apply) *

I want to lose fat (lose weight)

I want to build muscle (gain weight)

Improve Performance (strength, endurance, etc.)

I want to improve my overall health, increase energy, etc.

I want to compete in bodybuilding

What is the biggest hurdle you’ve been trying to overcome with your fitness? *

What are you seeking in a coach (select all that apply)

Holds me accountable

Helps me create structure and a clear plan

Pushes me outside my comfort zone

Educates me on the science behind training and nutrition

Provides mindset and lifestyle coaching

Other

What is your commitment level to your personal results? *

1. I’m extremely committed. I’m sick of my own bullshit, and I will do whatever it takes.

2. I’m committed enough to invest in my goals but I’m afraid of “missing out” on social events.

3. I know I need help to make a change but I’m not sure if I’m ready to fully commit.

Are you financially in a position to invest in coaching that will help you achieve your goals?

Finances are not an issue for me, and I'm committed!

I have a budget, but if this guarantees results, I'm all in!

I have less than 300 dollars to invest in myself

Anything else you'd like to add before booking?

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