Form cover
Page 1 of 1

Coaching Application

This is not a generic fitness program. This is for those who are ready to take responsibility and make a real change.

If you’re looking for a quick fix, this is not for you.

If you’re ready to build discipline, structure, and long-term results with a coach that cares about you, continue filling out this application.

Basic Information

Full Name

Age

Email Address

Instagram

Current Situation

How would you describe your current fitness level?

How would you describe your current fitness level?
A
B
C

Which best describes you right now?

Which best describes you right now?
A
B
C
D

How many days per week can you realistically train?

How many days per week can you realistically train?
A
B
C
D

GOALS

What is your #1 fitness goal right now?

Why does this matter to you right now?

My coaching is typically 16 weeks, by the end of those 16 weeks what would you like to achieve?

Struggles

What has stopped you from reaching your goals in the past?

What do you find hardest about staying consistent?

What are you most frustrated with right now?

Identity and Emotion

How do you currently feel about your body?

What would changing your body do for your confidence, energy, and life?

Readiness and Commitment

On a scale of 1–10, how serious are you about changing right now?

What would happen if nothing changed in the next 6 months?

Have you ever worked with a coach before?

Have you ever worked with a coach before?
A
B

If yes: What did you like / not like?

Logistics

Where will you be training? (gym/home/both)

Do you have any injuries or limitations?

Financial Breakdown

Coaching is an investment. Are you financially able to invest in yourself right now?

Coaching is an investment. Are you financially able to invest in yourself right now?
A
B
C

If you are accepted as a client are you willing to commit to a 16-week process?

If you are accepted as a client are you willing to commit to a 16-week process?
A
B

Final Qualifying Question

Why should I choose to work with you?

Consent

I understand this is an application, not a guarantee of acceptance.

I understand this is an application, not a guarantee of acceptance.
A

I understand this is coaching, not medical advice.

I understand this is coaching, not medical advice.
A