LLAM Coaching Application

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Thank you for interest in working Lift Like A Mother™ and her team. Please answer the questions below so we can better assess your goals and needs. You will hear from us shortly!

Name (first and last) *

Phone Number *

Instagram Handle

Age *

Tell Us About Yourself *

What are your goals? Check all that apply *

Lose Body Fat

Gain Muscle

Improve Body Composition (not necessarily weight loss)

Create Better Habits

Integrate Health and Wellness into current lifestyle

Custom Workout Programs Only

Other:

Required

How soon do you want to start coaching? *

ASAP

Within 3 months

Within 3-6 months

Unsure

What does your current diet and exercise routine look like? *

I workout regularly and pay attention to my diet

I am sedentary and don't pay attention to my nutrition

I workout but need help with diet and consistency

I have my diet down but need help with my workouts

Other:

What do you need most in order to reach your goals? *

Education and Guidance

Accountability

Consistency

Community

Other:

Required

Have you tried any other diet plans and/or fitness programs in the past? What did you like? What didn't you like? *

Do you have any health concerns or physical limitations we need to know about? *

Why did you choose to work with LLAM and her team? *

Are you ready to make an investment in your health? *

Yes

Maybe

Would a virtual community support group interest you? *

Yes

Maybe

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