1:1 Coaching Application

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HEY! Thanks for choosing me to help you through your health and fitness journey. In this application, you will answer some questions that will help me get a better idea to where you're at in your fitness journey and where you want to go.

Once the application is complete, I will send you an email to schedule a 15-30 minute intro call to talk about coaching, pricing, and any further questions you have prior to committing. If you don't see an email within 48 hours, check your junk mail or make sure the email you provided was correct. :)

Email *

Name *

Instagram Handle *

How'd you hear about me? *

Age *

Height *

Weight *

Activity Level *

Sedentary - little to no exercise, desk job

Lightly active - light exercise/sports 1-3x/week

Moderately active - moderate exercise/sports 3-5x/week

Very active - heavy exercise/sports 5-7x/week

Extremely active - exercise/sports more than 1x/day

How many steps on average do you get a day? (if you don't know, try and guess) *

What do you do for a living? What does your daily movement look like? (i.e. desk job, nurse, etc) *

What is your current goal? *

Fat loss

Body recomposition

Muscle gain

Better relationship with food

Building healthy habits

Explain further what you're hoping to achieve *

How do you think you would feel by achieving that goal? *

What type of support would you like from me as your coach? *

What do you think has kept you from hitting your goals in the past? *

In this experience, what do you think you would do differently? *

Tell me about your dieting history. What has worked well for you in the past and what hasn't? *

Have you ever dealt with emotional eating, overeating, or stress eating? If so, tell me more about that. *

Do you have previous experience tracking macros? *

Yes

If so, tell me more about your experience! Also, if you have a current macro count, please specify below what your carbs, fats, and proteins are. *

Have you previously worked with a coach? *

If so, please tell me a bit more about your experience. If you have not previously worked with a coach, no worries! *

The work that I do includes a lot of work around mindset. Are you willing to look into some of your limiting beliefs and possibly adjust the way you look at food? *

Yes

Other:

What would be a HUGE win at the end of your 1:1 coaching? *

Any comments/questions/concerns you have about starting this journey? *

I understand that I'm committing to at least 4 months of working with a coach. *

Yes

I understand that coaching is a financial investment and I'm ready to commit and invest in my health! *

Yes!

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