Please take the time to complete these questions and start off your health journey working with me.

What is your full name & email address? (Required.)

What is your age range?(Required.)

Teens

20s

30s

40s

50s

60+

How active are you?(Required.)

Not active at all; do not workout

Lightly active; one workout a week

Moderately active; 2-4 workouts a week

Very active; 5 or more workouts a week

Which best describes you?(Required.)

I have 20+ pounds of fat I really need to loose while building visible muscles

Im skinny. I need to build some muscle definition and burn stubborn fat, I would look amazing

Im soft. I need to lose 5-10 pounds and improve my stomach, butt and arms

What type of coaching are you looking for?(Required.)

1:1 coaching, including weekly check-ins and adjustments

Personalized lifestyle plan, not including check ins

Overall nutritional guidance

What possible personal barriers do you feel are keeping you from reaching your nutrition and fitness goals?(Required.)

Lack of motivation

Lack of time

Self consciousness

Hitting a plateau

Not knowing where/how to begin

Lack of equipment

Lack of results

Other

How often are you willing to train each week to reach your goals?(Required.)

1-2

2-3

3-4

4-5

I want you to create your dream scenario with your body and health, where do YOU want to be in 6 months?(Required.)

On a scale of 1-5, how serious are you when it comes to reaching this goal and overcoming these struggles?(Required.)

1, if it happens it happens

2, Im somewhat encouraged to see it through

3, Im much more serious than previous attempts

4, This means a LOT to me

5, I MUST make this happen for myself

What is your occupation? What are some hobbies you have? Can you share anything else that will help me better prepare for us working together?(Required.)