Coaching Application

**PLEASE READ** Thanks for your interest in my coaching program! I only work with people who are dead serious about getting the best results possible. This is NOT a cookie-cutter, one-size-fits-all type of program. If you're accepted into my coaching program, you'll be getting full access to me as your coach for the next 12 weeks (and beyond). Your time is valuable, and so is mine, so when you fill out your information below, be thoughtful with your responses. Ready? Let's get started...

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Let's start with the easy stuff — what's your first and last name? *

First

Last

What's the best email to reach you? *

Confirm Email

Are you a Man or Woman? *

Man
Woman

Age? *

Height? *

Feet/Inches or cm

Weight? *

Pounds or kilograms

Can you briefly describe your short-term goals? *

And now in 1-2 sentences, tell me about your long-terms goals. *

Do you currently follow any type of diet? *

Atkins, Paleo, Keto, The Zone, Low Carb, High Carb, etc?

Tell me your biggest struggle you personally deal with when it comes to training and nutrition. *

If you could snap your fingers and solve a problem, how would your life be different?

Are you familiar with the main movements such as rows, presses, and squats? *

Yes
No
Some, but not all

Do you have access to a gym? If not, what equipment do you have access to? *

Tell me where you're working out so I know what equipment and limitations I'm working with.

Have you ever paid for personal training or coaching before? *

Both our time is valuable, so I only work with people who are serious about, and committed to, making the mindset, training, and diet changes to improve their fitness levels and finally reach their goals. Choose the option below that best describes your current situation. Are you ready and able to invest in one-on-one coaching? *

[YES] I have the money and time. I'm ready to invest my money, time, effort, and I'm committed to getting the best results possible.
[YES] I have the time, but I'm on a budget. I can afford up to $100 per week to reach my goals.
[NO] I'm not willing to invest in myself at this time.

Name

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