Coaching Application

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Full Name Please enter your name

Email Please enter a valid email

Phone Number Please enter a valid phone number

Instagram Handle Please enter your Instagram handle

What is your age?

Under 18 18–21 21–25 25–35 35–45 45+

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What is your gender?

Male Female

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What is your primary goal right now?

Lose fat Build muscle Recomp (lose fat + build muscle) Health Other

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What best describes your biggest challenge right now?

Knowledge — I don't know what to do. I've tried different diets or workouts, I am confused, overwhelmed and unsure what works. Consistency / Mindset — I know what I should be doing, but I struggle to follow through. I tend to fall off, start over, or get discouraged. Time / Lifestyle — My schedule is hectic and unpredictable. Between work, family or life stress, I just can't seem to stay consistent.

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How important is it to make meaningful progress toward your goals in the next 90 days?

It's a top priority — I'm ready to go It's pretty important Not a major priority for me right now

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What does your annual household income look like?

More than $100,000 / year Between $65,000 – $100,000 / year Less than $65,000 / year

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Where are you located?

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