Client Application

Are you interested in online or in-person training?
Any injuries or health problems we should know about?
Please describe:
Have you ever had a coach before?
What are 3 goals you want to accomplish in the next 3 months?
What is your number one obstacle that stands in the way of these goals?
Why did you choose specifically to apply to my coaching program?
Are you willing to invest $200 to $400 per month into achieving your fitness goals?
On a scale of 1 to 10, 1 being “I just want to sit on the couch and eat potato chips” and 10 being “I’ll eat chicken and broccoli all day, everyday if that’s what it takes,” how committed are you achieving your fitness goals?
First and last name
Email
Age
Gender
Phone number