Apply For Coaching Name Email Phone Number Gender Male Female Other Height Weight (pounds) What is you favorite movie? What are your health, fitness, and nutrition goals? What are you prepared to do to meet your goals? What is your training age? (How long have you been training?) 0-2 years 2-5 years 5+ years Have you have been diagnosed (currently or in the past) with any significant medical condition(s) and / or injuries? If so, what and when? On a scale of 1-10 (1 being low and 10 being high), how ready, willing, and able are you to make changes needed to achieve your goals? 1 2 3 4 5 6 7 8 9 10 Why did you choose to apply for my coaching? What do you expect of me as your coach? Are you willing to invest at least $200 monthly to achieve you health and fitness goals? Yes No Is there anybody else who might be involved in your decision making process? Let's Go!