WachsAthletics Coaching Application
Legal Name *
Best Contact Email *
Phone Number *
Instagram Username
Current Age
Current Body Weight
Current Height
Prior Training Experience (Please Explain Style of Training)
What is your 6 Month Fitness & Health Goal?
How Active is your Current Lifestyle?
Do you have any medical or injury drawbacks that prevent you from performing at a high level?
Estimated Daily Current Caloric Intake
How many meals including snacks do you consume daily?
How often do you currently endure physical exercise on a weekly basis?
What is your current workout program or split?
What supplements are you currently taking (include PEDs if applicable)?
Are you interested in "advanced" use of supplementation (PEDs)?
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Are you currently taking any OTC medications?
When was the last time you've gotten blood work complete and are you willing to once you begin?
My team is full of POSITIVE individuals - I have a rule for NO NEGATIVITY! Are you able to follow this and be a source of positive energy?
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Any food allergies or injuries I should know about?
Select The Coaching Package You're Interested In
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What's you total monthly income? (Answer accurately, this does not affect anything) *
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