I’m excited to see that you’ve made your way to my 1:1 Coaching application.

Please be thorough in your responses and honest with your reflections so I can get the most accurate picture of your current needs.

This application is the first step to making big strides towards your fitness goals - You ready? Let’s get started…

First Name *

Last Name *

Phone *

Email *

Date of birth *

Instagram handle: *

Explain to me your current health and fitness goals in as much detail as possible. *

Please include a timeframe if you have one, and add any specific details you have. The more information you provide the better I can help you.

What makes now the right time to achieve these goals? *

Have you tried to achieve these goals in the past? What things have you tried in the past? *

Why do you want to work with me on this endeavor? *

Do you have access to a gym? *

Describe your past experience/s with exercise. *

Do you drink alcoholic beverages? How many do you consume per week on average? *

Do you have any known medical conditions? *

Are you taking an medications prescribed by a doctor? If so please provide the medication, dosage, and duration. *

Have you worked with a personal trainer or online coach in the past? *

If yes, what was your biggest takeaway from that experience? Why did that coaching relationship end? *

What is the top obstacle in your way to achieving your goals? Have you experienced other obstacles in the past? *

Look ahead 6 months from now ... how will you know that we've had a successful working relationship? *

Is there any one else involved in this decision with you?

If yes, how will their lives be impacted by you achieving these goals?

Are you in the place to make a financial investment in achieving these goals for good? *

Please let me know who, if anyone, referred you to my business so I can thank them.

By checking this box, I consent to receive transactional messages related to my account, orders, or services I have requested. These messages may include appointment reminders, order confirmations, and account notifications among others. Message frequency may vary. Message & Data rates may apply.Reply HELP for help or STOP to opt-out.

By checking this box, I consent to receive marketing and promotional messages, including special offers, discounts, new product updates among others. Message frequency may vary. Message & Data rates may apply. Reply HELP for help or STOP to opt-out.