Client Application

Concierge Fitness Coaching & Nutrition

I take your health and fitness goals seriously, so I like to work with people who are truly ready to make a massive life transformation. The program isn’t designed to be easy, and there are no handouts. This application process helps identify your motivation, mindset, and expectations to make sure we are aligned for success.

Hi! What's your first name?

Last name?

Your email address

Age

Height

Weight

Any diagnosed hormone issues? Please explain

Any other health issues? Please explain

What prompted you to apply for coaching? Why do you want to work with me?

Tell me about your past experiences with online coaching and/or personal training, if any.

I talk to a lot of people, some more motivated than others. Are you in a place where you're highly motivated to seriously commit to coaching, accountability, and a plan that takes you where you want to go?

Yes No

On a scale of 1 to 10, how motivated and ready are you to accomplish these goals with me?

How would you describe your training/weightlifting experience?

Beginner Intermediate Advanced

Break down your current training and cardio routine for me.

What does your current nutrition look like? Give me a typical day, including food and drink.

What is your goal in working with me? Be specific.

What are your long-term fitness/health/physique goals? Be specific.

What are your challenges right now? Where are you struggling?

What do you believe is the #1 reason you haven't achieved the results you've wanted?

How would you feel if 6 months from now you found yourself in the same place you are right now?

If nutrition and exercise remain a means to an end, then any progress you make will not last. It must become a lifestyle habit for progress to remain permanent, and it takes time. As such, this program is a minimum 6 month/ 4-figure investment in yourself. How do you feel about that?

Yes, I am 100% ready to invest in myself No, I'm not able to invest in myself right now