Workout with Jilly Group Coaching Application
Please take a few minutes to fill out the application so I can gain a better understanding of why you decided to pursue a journey to a healthier you.

There are limited spots available, but this application will give you a spot on my wait list. You will receive an email to confirm your position if your goals line up with my skill set.
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What is your first and last name? *
What is your email address? *
What is your phone number? *
How did you hear about Group Coaching (Instagram, Facebook, Referral, Other)?
What is your Instagram handle?
What is your age? *
What kind of career do you have? Is your work sitting/standing? *
Do you exercise regularly? *
Rate your experience level with exercise: *
True Beginner
Advanced
The Group Coaching Program consists of 6 workouts per week. Is this something that you will be able to maintain and commit too? *
The Group Coaching Package consists of bi-weekly check-ins with me to make your health and fitness goals a priority. Is this something that you will be able to maintain and commit too?
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What are your top 3 goals relating to fitness and health that you want to achieve in the next 3 months with my Group Coaching program? Dig deep and be specific, there is no wrong answer here. *
Describe to me what your typical day of eating looks like: (please include snacks, coffee, water, other drinks, etc.) *
Do you track macros / are you familiar with them? What is your relationship with food?
What are you currently struggling with (low energy levels, lack of motivation, lack of training knowledge, lack of nutrition knowledge, commitment, consistency, body image, food restrictions, anxiety/stress, food allergies, etc.) ? *
Do you have access to the following Equipment (dumbbells, bench/box/sturdy chair, mini glute band)? *
Do you have any existing injuries or conditions that I should be aware of while building your training plan? *
Do you have a smartphone that has access to the Apple or Google Play App store? *
My Group Coaching Program is $379 for 6 weeks. If we both feel like a good fit for each other and it is an absolute yes to work together, are you able to put down the financial investment required to hire a coach and get started on this program? *
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