New Client Application
If you received this form, which you did because you're reading this, then you have already taken the first step in changing, improving, your legacy. Now, just fill out the form. We recommend answering all the questions, but only those marked with a red star are required.
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Email *
Legal First & Last Name *
How do you prefer to be addressed? (Mr., Ms., nickname, middle name, etc.) *
Date of Birth *
MM
/
DD
/
YYYY
Email Address *
Mailing Address *
Current Height *
Current Weight *
Current Body Fat % (if you know what that is; this is not required)
Gender *
Favorite Comic or TV show
The Awkard Yeti is my favorite comic, and I thought you could use a break from all the questions!
A doctor has told me I have... *
Required
What nutrition restrictions do you have, if any? *
Name your 3 favorite foods. Be honest! (Pizza is my favorite most of the time.)
Name your 3 favorite exercises (not required, but I keep this in mind while writing your program!)
Briefly describe any experience you have had with trainers or coaches. (This could be personal trainers or going back to school sports.) *
Have you ever done online fitness coaching? *
What fitness equipment do you have access to, if any? *
Briefly describe your 3 month goals *
Why did you choose to apply? What motivated you? *
On a scale of 1 to 5, how committed are you to achieving your health & fitness goals? *
Still debating with myself
It's time; let's go!
Are you willing to invest $200 - $400 a month to achieve your health & fitness goals? *
Is there anyone else involved in your decision to hire a coach? *
That is enough questions for today! We will review your application and contact you within 48hrs.
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