First Name *

Last Name *

Email *

What is the best phone number to reach you at? *

Gender *

Male

Female

Instagram Handle (screen name) *

What is your main fitness goal right now? Please give as much detail as possible and include your WHY for wanting to make these changes *

What is your current strategy or system to help you accomplish your fitness goals, and why do you feel like it is NOT working? *

How long have you been struggling to reach these goals? *

Why do you want to work with me? Please be SPECIFIC *

If you find the program is a perfect fit for you and will give you the best chance at achieving your goals, are you ready to get started and take action immediately? Or is there anything that would prevent you from getting started right away? *

Working 1-1 with me is NOT free. It's also not a one size fits all program. It's personalized coaching with a true expert. I only work with men and women seriously committed to getting fit and healthier. With that being said which best describes you? *

YES, I have the financial resources and am ready to invest into a coach who will guide me and take out ALL of the guesswork for me.

NO, I do not have the financial resources to invest into my health and fitness right now.

YES, I am ready to invest in a coach that will be resourceful and get me to my dream body, if i feel you can help me

To be sure I can really help you, and so we can be as clear as possible I ask for you to be distraction free. Will you be able to take this call in a quiet environment / place? (No driving, no working, no kids please) *

Yes

No

How did you hear about us? *

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