Coaching Application

Please complete this form with as much detail as possible. This will assist me in creating personalized nutrition and training plans for you. Once you have finished the form, you may schedule your free initial consultation.

First & Last Name

Phone

Current Height, Weight, and Age

What are your short term and long term goals? What is your 6 month goal? And 1 year goal? (be specific)

How long have you wanted to achieve this goal? Have you worked with a trainer before?

What do you do for work? How many hours a week do you work?

How many days per week can you commit to exercising?

What did you have for breakfast, lunch & dinner yesterday? (be specific)

Online Clients Only: Where will you be performing the workouts assigned to you? What equipment do you have access to?

Anything you would like to add? Any questions or concerns?

Change isn't easy for any of us. Are you prepared to trust the process and achieve your goals?

Thanks for submitting! The first step to a happier healthier life is complete.