One-on-one Customized Nutrition Coaching Application
This application is designed to see if you and I would be a good fit together in a client-coaching relationship! If you have not done so yet, please read https://www.alexisfitcocoaching.com/my-story on my website to get a better idea of who I am and my coaching style!

I am looking for dedicated and determined individuals that truly want to make a lasting change in their health. I don't do fad diets and don't do quick fixes. I'm not here to help you lose 10 pounds in a week, I'm here to help you get healthy and stay heathy for good! I want you to see this as the start of your empowered wellness journey. You'll learn about nutrition in conjunction with your personal needs, and I want you to feel confident in the choices you make!

When you submit this application, I'll reply back via email within 48 hours with an outline of what you get from me as your coach, the coaching option I believe would be best for you (a single assessment or one-on-one custom coaching that requires a 12 week commitment) and how I plan to tackle your goals!  You'll also get a link to sign up for a 60 minute discovery call with me through zoom so we can review the options together and clear up any additional questions either of us may have! If you do not have access to Zoom, or do not wish to do a video call, we can keep the chat in emails or set up a phone call.

In case you are going through some disordered eating currently or are going through recovery, I made some of the potentially triggering questions below not required, yet all responses are beneficial for me to know in order to better understand you and your health goals! All responses are confidential.
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Email *
Name *
Instagram Handle, if applicable
Gender *
Age *
Height in inches *
Weight in pounds
What would you say your activity level is? Choose one *
I want to gauge what your nutrition education/knowledge basis is. Please tell me what you know about nutrition, calories, macros, meal timing, meal prepping, healthy eating, etc. If you are unsure how to answer this question, you can say "unsure" *
How many meals and/or snacks do you eat on daily basis? If you happen to know what macros/calories you hit daily, let me know that as well! *
Tell me more about your life! Do you work? Do you have kids? What does a typical day in the life look like for you? *
Do you take any supplements or medications? And if so, please list them with the quantity/dosage. *
Do you currently smoke? *
Do you drink alcohol and if so, roughly how many drinks per week? *
Do you have any diagnosed (self or via physician) medical conditions that I should be aware of? The more details the better! *
What is your dieting history? i.e. have you ever competed in a sport? have you ever worked with another nutrition coach? what diets and/or macros have you been on in the past? *
What is your relationship with food/your body/exercise like? Give me some back stories if applicable! *
What are your fitness and health related goals? *
What are your expectations of a nutrition coach and what do you plan on achieving from working with coach? *
What is your WHY? Your motivation behind wanting this for self? Your purpose behind seeking out help with your health and wellness journey? *
Are you willing to invest in yourself mentally and financially up to $200 a month into your health to achieve your goals? *
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