Tina Wieland Fitness Coaching Application
Online Coaching is really the most effective and affordable way I can offer my services. With Online Coaching, I'm like your very own virtual personal fitness consultant...here for your every health and fitness need!

Basically: everything I do with my in-person clients, except done through the web via email, text, and an easy to use app on your phone!

Fill out the application below to see if you are a good fit and I'll get back to you within 24 hours - unless I got stuck hanging out with my black cat, Binx. (Shh...don't tell anyone!)
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First + Last Name *
Age *
Best email to reach you at: *
Phone Number *
How do you prefer to communicate? *
Required
Where can I find you on the 'gram? (N/A if you don't have one!) *
Height? *
Weight? *
Current Goals? (Check all that apply) *
Required
What has prevented you from achieving these goals in the past? *
In your ideal life, how would you look and feel? Really think about this. What would a change mean for your life? For those around you? How would your life be different? *
How do you think my coaching will help you to achieve that reality?
If you could be a spooky creature for a day, who would you be? Humor me because I LOVE Halloween! *
Fill in the blank with a 1-2 word response. _____________ is life. It's a hard choice. Mine is coffee. *
How committed are you to making changes to become your best self? *
I want my ideal life, I just don't want to work for it.
I will have my best reality. I can take whatever you throw at me!
Are you prepared to make this financial investment for your health? *
Required
Anything else I should know? *
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