Coaching Application

Coaching Application 

Email address *

Name * settings

Age * settings

Gender * settings

Male

Female

What is your #1 struggle when it comes to  nutrition? * settings

What is your #1 struggle when it comes to exercise?  * settings

What is your current activity level? (How many steps per day? Do you current work out? )  * settings

What are your current goals?   * settings

How committed to your goals are you on a scale of 1-10?  * settings

	1	2	3	4	5	6	7	8	9	10
Not at all											I'm ready to do whatever it takes!

What would need to happen over the next 6 weeks for you to feel like our time together was a success?  * settings

Current weight  * settings

bust measurement  * settings

waist measurement  * settings

hip measurement  * settings

right thigh * settings

left thigh  * settings

6 Week Summer Coaching Package * settings

Please follow the link below for payment.

$197.00 total price

Please put "summer coaching package" in the description so I can easily find your payment

Venmo Link

Summer Coaching

Coaching Application

Click Submit to finish.

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