COACHING APPLICATION

Let's see if Peak Performance Coaching is the right fit for you. Complete the application below so I can better understand your goals, current struggles, and what you're looking for from coaching.

First Name *

Last Name *

Phone (Please include area code) *

Email (Booking notifications will be sent to this email) *

Age: *

Weight *

Occupation?

What is your primary fitness goal? Be as specific as possible. *

What have you tried in the past, and what do you feel has kept you from reaching your goal? *

What are you looking for from a coach? *

BEFORE YOU APPLY

Peak Performance Coaching is personalized 1:1 coaching for people who are serious about making a change. This requires consistency, communication, effort, and a financial investment in your health and fitness.

Please only continue if you're ready to commit to the process.

If we determine that coaching is a good fit, are you currently in a position to invest in yourself and your goals? *

Yes, I'm ready to invest in the right coaching program

Possibly, I'd like to learn more about the program and pricing first

No, I'm not currently in a position to invest in coaching

How ready are you to make your health and fitness a priority right now? *

I'm ready to start now

I'm interested, but I have a few questions first

I'm just exploring my options

If we decide we're a good fit, when would you ideally like to start? *

As soon as possible

Within the next 2-4 weeks

More than a month from now

I agree to receive SMS messages from Chas Parrott regarding my coaching application, appointments, services, and occasional promotional offers. Message frequency varies. Message & data rates may apply. Reply STOP to opt out or HELP for help. Consent is not a condition of purchase.