Application (1:1 Coaching)

Coaching Application

Thank you for reading through the expectations for a coaching relationship. To help me understand what you are looking to achieve, please fill out the details below and I will reply to you via email.

First Name

Last Name

Date of Birth: M/D/Y

Please give some brief details about what you are hoping to achieve.

Why is now the right time to start?

Do you have any current or past injuries? Did you receive medical treatment for it/them (physical therapy, surgery, etc) - if yes, please describe.

Have you worked with a coach before? Why or why not?

Are you currently eating more than 1500 calories?

Describe your current exercise habits.

What kind of commitment are you interested in?

Monthly and 3 month programming is done through subscriptions (automatic renewals).

Are you ready to make this financial commitment?

When would you like to start? (insert date) (Pending availability)

How would you prefer to be contacted to discuss this?