Personal Training Application
If you are serious about working with me and you are ready to take the next step towards a healthier balanced lifestyle, fill out the application below.
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Email *
First and last name *
Phone number *
Address *
Gender *
Age *
Height (Feet/Inches) *
Weight (Lbs) *
Occupation *
What is your main goal at this time?
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List 1-2 short term goals (1-6 months)
List 1-2 long term goals (6 months - 1 year)
How would you feel if you accomplished your goals?
Do you currently exercise? *
Briefly explain your eating habits *
Do you have any experience tracking macros?
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?
What are you looking for in a coach? Have you worked with a coach before? If so, how was your experience?
Why are you committed to working with me at this time? *
Anything I should be aware of?
What days work best for you? *
Required
What times work best for you? *
Required
Add any additional information about your schedule here
How did you hear about JessCFit? *
Instagram username (optional)
Would you like to add nutritional coaching for $100/month? *
How would you like to pay? *
Any questions/things to add?
Submit
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