MidStrong - Training and Nutrition Application
Finding the right coach or trainer is a lot like any relationship... it's easy to rush into a bad one, but it can be really messy to get out of. Let's make sure we're the right fit for each other! Please answer the following questions as completely and honestly as possible. Paul or Julie will personally be in touch with you within 24 hours of your submission.
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Email *
First & Last Name *
Mobile Phone - we need your number because either Paul or Julie will connect with you live within 24 hours of you submitting this form *
Age *
Gender *
What town and state are you from? *
On a scale of 1 to 10 how badly do you want to see improvements in your health and fitness in the next 3-6 months? *
I'm already perfect! Improvement is not possible...
I'm willing to workout 8 days a week and drink kale smoothies for dinner every day! ;)
How would you rate your current level of activity? *
I'm a slug and barely move except to go to the bathroom, and sometimes not even then...
The Energizer Bunny's got nothing on me!
What exercise routines or programs have worked for you in the past?
How would you rate your current nutrition? *
Mostly eat Cheetos and mac'n cheese
I LOVE Kale Smoothies!
What nutrition programs or diets have worked for you?
Based on what you feel you need most right now, which of the following are you most interested in? Check any that apply. *
Required
What's your favorite book? Or movie?
Tell me about any injuries or other ailments that might limit your capabilities. *
OK, now let's be honest... what's really kept you from reaching your goals in the past? *
What led to reach out for our coaching? Specifically, what do you hope that we can accomplish together?
Tell me about a bucket list activity that you've been dreaming of but haven't felt physically able to accomplish?
How much are you willing to invest in yourself each month to look and feel better than you have in decades? *
How ready are you to get started right away? *
I need to think about it for another few weeks and will probably never really take the next step...
Let's Go! I am ready now and want to schedule my assessment yesterday!
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