1:1 Coaching Program Application
This form is meant to help our team get to know you. This is not an official acceptance into our coaching program.

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Email *
Meet the Team!
Name *
Date of Birth *
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Email *
Home Address
Phone *
Age *
Height *
Current Weight *
Goal Weight *
Body Fat % *
(use the picture below to find what photo that most closely resembles yourself. )
Are there any previous health issues that I should be aware of? ( This would include surgeries, heart conditions etc.) *
Are there any previous injuries that I should be aware of? *
Current injuries that cause pain or limitations?
Are there any food allergies I should be aware of? *
Foods you can eat everyday? *
Foods you hate? *
What are you comfortable spending each week for groceries? *
What type of physical activity do you consider fun? *
Do you enjoy cardio? *
Required
What is the best possible outcome that this program can provide for you? *
How many days a week are you willing to workout (minimum of 3)? *
Current training schedule and what you do (it's fine if you don't have one)? *
How much time do you have to workout each day ? *
What changes do you want to see to feel like the program has been successful. BE SPECIFIC *
Focus areas for your fitness, body, nutrition, or over-all health?
Will you be working out at home or will you be using a gym? *
If working out at home, what equipment do you have available to you currently, if any? *
If working out at a gym, what gym will you be using? *
Would you like to learn more about our 1:1 coaching program? *
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