Application for Coaching

First Name *

Last Name *

Phone number *

Email *

What's your top goal or priority over the next 6-12 months in your fitness/faith journey? *

Improving my process & ability to build strength & lean muscle mass faster.

Losing 15-50 lbs of body fat without sacrificing lean muscle mass.

Honoring God through my health & fitness journey while growing & maturing in my faith.

Rebuilding my faith, body, & work ethic through 1-on-1 mentorship.

Developing lifestyle habits & routines that support my daily productivity & wellbeing.

Other

(When we're referring to "God" & "Faith" we are referring to the Christian faith)

In your own words, please share what your health & fitness goals are for the next 6-12 months. *

If you're a Christian, please share your goals around your faith as well.

What are the biggest setbacks & speed bumps right now that are slowing down your ability to hit your goal(s). *

The more clear we are on the problem(s)... the faster we can address them.

What is your current Height? *

What is your current Weight? *

How old are you? *

How would you best describe your nutritional experience? *

I'm pretty new to all this.

I've done certain diets in the past, but nothing I've ever stuck to long term.

I'm familiar with the basics of macro tracking & healthy eating, but nothing too serious.

I've been able to handle strict diets in the past & feel confident about making intuitive adjustments when needed.

Describe your current eating habits for a typical week. *

How many hours of sleep do you get per night on average? *Not to be confused with how much TIME you've spent in bed... actual sleep time.

How often do you do the following activities each week?

Take the average number of days from the last 3-4 weeks to give a more accurate gauge of where you're at.

Provide your Instagram and/or Facebook username. *

How did you hear about this coaching program? *

This could be: Instagram, Facebook, Positive Word-of-Mouth, A Personal Referral, etc.

(Optional) Please attach any recent blood work or lab results you've gotten within the last 1-16 weeks.

Testimonials