*1.FIRST & LAST NAME(Required.)

*2.PHONE NUMBER(Required.)

3.EMAIL

*4.DO / HAVE YOU HAD ANY CURRENT, RECENT, OR PREVIOUS SURGERIES , INJURIES, AREAS OF PAIN, OR MEDICAL CONDITIONS(Required.)

*5.WHAT DAYS / TIMES ARE YOU MOST AVAILABLE TO TRAIN?(Required.)

MONDAY

TUESDAY

WEDNESDAY

THURSDAY

FRIDAY

SATURDAY

SUNDAY

MORNINGS

AFTERNOONS

EVENINGS

ANY

*6.WHICH OF THE FOLLOWING GOALS ARE MOST IMPORTANT TO YOU RIGHT NOW (SELECT YOUR TOP 3)(Required.)

LOSE BODY FAT AND LOOK LEANER

BUILD STRENGTH AND PERFORM AT A HIGH LEVEL

REHABILITATION/ INJURY PREVENTION

REDUCE STRESS AND BOOST ENERGY HORMONAL BALANCE

FEEL CONFIDENT AND POWERFUL IN MY BODY

CREATE A SUSTAINABLE LIFESTYLE FOR LONG-TERM HEALTH

*7.WHAT KIND OF SUPPORT OR ACCOUNTABILITY DO YOU FIND MOST HELPFUL WHEN PURSUING YOUR GOALS(Required.)

ONE ON ONE TRAINING

SEMI PRIVATE GROUP

AT HOME WORKOUTS

ONLINE PROGRAM

HYBRID TRAINING

*8.WHAT ARE THE BIGGEST CHALLENGES YOU FACE WHEN TRYING TO STAY CONSISTENT WITH YOUR ROUTINE WHILE BALANCING YOUR PERSONAL LIFE?(Required.)

LACK OF TIME

MENTAL BURNOUT / STRESS

NOT ENOUGH SLEEP / RECOVERY

LACK OF MOTIVATION / ACCOUNTABILITY

INJURY / PHYSICAL LIMITATIONS

NOT HAVING A CLEAR PLAN OR STRUCTURE

SOCIAL DISTRACTIONS OR PEER PRESSURE

ACCESS TO TRAINING FACILITIES

Other (please specify)

*9.WHAT DO YOU FEEL IS THE BIGGEST MINDSET SHIFT YOU NEED TO MAKE IN ORDER TO STEP INTO THE VERSION OF YOU YOU’RE LOOKING TO BECOME?(Required.)

*10.WHAT DO YOU EXPECT FROM ME AS A COACH & WHAT DO YOU EXPECT FROM YOURSELF IN THIS PROCESS? WHAT WOULD TOTAL HONESTY AND ACCOUNTABILITY LOOK LIKE BETWEEN US?(Required.)