To confirm, you are filling this out to book a FREE strategy session where you’ll learn how to optimize your results without giving up the foods you love, and how to create a sustainable solution that actually fits your lifestyle. This call is simply to explore what’s possible for you - no pressure, just a clear plan forward. *

Yes - I am serious, and want to learn more about reaching my dream body, without sacrificing my life.

No - I’m going to leave this page immediately.

First Name *

Last Name *

Email *

Phone *

Date Of Birth *

Age? *

Weight? *

How tall are you (height)? *

What brought you here today? Mark all that apply. (If referred by someone specific, please select "other" and type their full name) *

Coach Jackie sent me the link

Coach Kristin B sent me the link

Instagram post

Facebook post

Current FFC Meal Plan, Workout and/or Macros Only client looking for more support

Previous coaching client

If you were referred by a current FFC Client, what is their full name?

What are your health & fitness goals? Lose 20 lbs? Be happy and healthy? Tone up? Build lean muscle? Overcome depression and anxiety? Manage stress? Be more confident? etc. (Explain in depth) *

Explain to us WHY. What is driving you to make these changes?

What have you tried in the past and why hasn't it worked for you? What has kept you from achieving your goals?

What do you struggle with most when trying to accomplish your goal?

What would you be NOT WILLING to give up, in order to accomplish your goal?

Occupation? (Where do you work? Desk job? Active job? etc.)

What is your lifestyle?

Sedentary - (desk job, very little standing or walking needed during the day)

Light Activity - (some standing and walking during day to day activities and job)

Moderate Activity - (you spend a good portion of the day on your feet during your job & activities)

High Activity - (you spend virtually all day on your feet and rarely sit down)

Extreme Activity - (you work a heavy labor job)

What is your exercise activity?

Sedentary - (you don't exercise)

Light Exercise - (you do some walking and cardio activity a few days per week)

Moderate Exercise - (you do multiple days per week of exercise, some resistance/strength training.

Intense Exercise - (you train hard at least 5 days per week)

Extreme Exercise - (you train intensely over 2 hours per day, virtually every day)

Select the things that you spend money on each month, that aren't helping you toward your health and fitness goals?

Fast Food / Eating Out

Online Shopping

Nails / Hair... more than I NEED lol..

Other random stuff

On a scale of 1-5, how ready / committed are you to changing your life right now? (1 being "not ready at all" and 5 being "I'll do anything to change my life")

Does your spouse or significant other support you? (Meaning they will give you a thumbs up on whatever you decide) *

Yes

Not Applicable

If you were to find a way to reach your dream body, never have to say "no" to the food you love again and learn how to keep your results for LIFE, making Fit Foodie Chicks the last coach you’ll ever need to hire - would you be willing (and able) to invest in getting the help necessary to get there? *

Yes, I have the cash flow to invest in myself.

Yes, I may or may not have the cash flow, but I’m resourceful and/or have access to credit. I am willing to sacrifice spending on things that are not serving me in order to invest in my goals if necessary.

No, my cash flow is limited and I have no access to credit.

Any additional information you think we should know? The more information you can give us the better. (health issues, past dieting history and struggles, expectations, fears, etc.)

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