1:1 Coaching/Nutrition & Feedback Application
If you're committed to change and serious about working with me, please fill out the application below.
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Client Name *
What is the BEST email address to reach you at? *
What is the BEST phone number to reach you at? *
Province/City/Address *
Age *
What is your main goal at this time? *
What are your biggest struggles? *
What are your biggest goals? *
Why do you want to accomplish your goal?
If you could wave a magic wand, what would your life look like 6 months from now? *
What do you think is holding you back from achieving that vision? *
On a scale of 1-10, how committed are you about taking your goals to the next level? Why? *
Occupation
Do you currently exercise? How many days/week?
What has your exercise history been in the past. What does it look like now?
Briefly explain your eating habits
 *
Do you have any experience tracking macros? (Using a food scale)
Experience is required
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If you are tracking macros, what are they? (Ex. grams of protein, carbs, fat, calories). How long have you been in a caloric surplus or deficit? What is your experience with tracking?
 *
Are you working out at home or the gym? *
What equipment do you have access to? Please be specific. 
Do you have any injuries, health concerns or anything I should be aware of?
What are you looking for in a coach? Have you worked with a coach before? If so, how was your experience?
How did you hear about JessCFit?
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What is your Instagram username? (Optional)
What made you want to work specifically with JessCFit?
 *
Finally, any questions/things to add?
If you do not hear from JessCFit within 24 hours on a business day, please check your junk/spam folders.
Please have an idea of where you would rate yourself in each category. We will discuss this in the consultation.

Please note:
Why= This is referring to the reason you are making this change. If your reason is not very deep ex.(I want to lose weight) you are likely to give up on your goal sooner. 

If you're reason is more deep (ex. I want to lose weight because I want to feel confident, experience life without limitations, set an example for my family). This reason is deeper and more meaningful. It gives your WHY more power which means its harder to give up on.
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