Hey, whats up? So excited to chat with you!! The purpose of this application is to help us get to know you better! Once you finish with the application we will share the next steps with you. It shouldn't take longer then 2-3 minutes. Lets get started!!!

What is your first and last name?

Awesome! What is your e-mail address?

Great, next, knowing what you do for a living gives us context as to who you are and what lifestyle factors will play a role? Where/When do you work? (list N/A if non applicable)

Tell us a little bit about your goals, and what you hope to achieve by working together?

What are some of the biggest challenges you face in reaching these goals?

Have you ever worked with an online coach or personal trainer?

On a scale of 1-10 how serious are you when it comes to reaching this goal?

The purpose of this phone consultation is to determine if this program is a good fit for you. If we do determine that that is the case, are you in a place to invest your time, energy and financial commitment?

I have the finances and energy to invest in my personal growth, knowledge, health and performance

I am willing to invest if i believe the program and accountability can deliver results

I am not in a place where I can invest in my personal growth, knowledge, health and performance at this time

Does your spouse or significant other support you? (meaning they will give you the thumbs up with whatever you decide? (if single, say yes)

Yes, I have read this and can confirm

No, I am not sure if he/she does support me

What is your phone number? (this will only be used to set up your free consultation, it will never be shared for marketing purposes)

By providing your phone number, you agree to receive recurring marketing messages from Brien Shamp’s Coaching, including reminders and promotions. Consent is not a condition for purchase. Message frequency varies. Message & data rates may apply.