Personal Information
First Name
Last Name
Gender
Male
Female
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Phone
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City
Date of birth
State
Email
*
Country
Country
How did you hear about us? (If referred, let us know who so we can thank them!)
Your Journey, Challenges, & Goals.
Which challenges resonate most with you?
Consistency
Not knowing what works
Lack of energy
Lack of time or feeling to busy
Feeling intimidated or unsure of how to use gym equipment
Not seeing progress despite training consistently
Plateaus in weight loss, muscle gain, or performance
Boredom with current fitness routine
Bingeing or skipping meals
Portion control or calorie counting
Digestive issues or food sensitivites
Lack of confidence
Negative self-talk
Procrastination or always "starting tomorrow"
Feeling like you don't deserve to invest in yourself
Hormonal imbalances or metabolic issues
Past experiences with yo-yo dieting or unhealthy habits
Chronic conditions (e.g, PCOS, diabetes, thyroid issues).
Struggles with managing stress & anxiety
OTHER
What’s your top fitness priority? (Choose one or more)
Building muscle
Losing Fat
Mental Health / Mindset
Optimal Performance
Hormones
Overall Health
Relationship with food
Other
What’s the most significant challenge or pain point you face today? How does that impact your life?
What have you tried in the past, and why didn't it work?
Who do you want to become in the next 6 months, and what will that version of you look like, feel like, and achieve?
What specific goals are you hoping to achieve in the next 3, 6, or 12 months?
Why is reaching your goal important to you? What’s at stake if you don’t make this change?
How much are you willing to invest in your health and fitness per month?
What’s driving you to seek coaching now, rather than waiting? Why is this moment the right time for you?
On a scale of 1 to 10, how committed are you to making this transformation?
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