Let's Get Started

Hi! Thank you so much for applying to work with me. I am so grateful and aim to never take for granted that my clients trust me with their health. What an amazing gift and responsibility!

Please fill out each question as thoroughly as possible. The more information I have the better! I will reach out to you within 48 hours to schedule a 30 minute introductory meeting once you submit this form.

I look forward to working with you! :)

Name*

Email*

Are you interested in working together in person (Mobile, AL) or online?*
In-personOnline

Birthday*

Height*

Current Weight (lbs)*

Phone Number (or how can I reach you best?)*

How, specifically, would you like your habits, your health, your eating, and/or your body to be different?*

Out of all the changes you'd like to make, which one feels the most important/urgent?*

Why is achieving this goal important to you?*

Why are you deciding to take action now?*

In the past, what has prevented you from achieving your goals?*

What is your current activity level?*
Sedentary (I don't currently exercise)Light (1-3 hours of exercise or sports per week)Moderate (4-6 hours of exercise or sports per week)Heavy (Heavy labor job and/or multiple 1+ hour workouts per week)

How many years of weightlifting experience do you have?*
01-23-45+

Which of the following equipment do you currently have access to?*
Full gymPartial/home gymNo equipment

Other:

Which of the following, if any, do you have?*Body weight scaleFood scaleSoft/flexible measuring tapeNone of the above

How many hours per week are you willing to invest in your fitness/health?*Less than 33 to 5More than 6

Have you ever purchased or tried any health/fitness programs in the past? Have you ever worked with an online coach? If so, how would you describe your experience? What were your likes and dislikes?*

Right now, how would you rank your overall eating/nutrition habits?*

Why did you give your eating/nutrition habits that score?*

Have you ever tracked calories/macros?*YesNoI currently do

Describe a time where you've felt the most content/happy/healthy with your weight or body.

Do you have children? If yes, how many and what are their ages?

Right now, how much do the people and things around you support health, fitness, and/or behavior change?*

How do you feel about your schedule, time use, and overall busy-ness?*

Can you expand on why you chose the above score? What's occupying your time?*

What is your typical stress level on an average day?*

How do you normally cope with your stress?*

How ready do you feel to make changes?*

How confident are you in making changes?*

What do you expect from me as your coach? Be as detailed and specific as possible. I want to help you any and every way you need me to.*

What are you prepared to do to work toward your goals (eating habits, exercise routines, mindset shifts, etc.)? What will you do and what do you need the most help with?*

If we worked together, what would success look like to you?*

In very simple, practical terms, what is it that you need to achieve your goals?*

As we work together, questions may pop up. When you ask a question, how would you like me to respond?*
It's important to note - there is no wrong answer here. Whether you just want to follow a plan or you want me to give you the answer to every why - I will accommodate you.

What days work best for you to complete your weekly check-in?*
Check-in feedback will be delivered within 24 hours unless you've chosen a day where this falls on the weekend.SundayMondayTuesdayWednesdayThursdayFridaySaturday

It varies week-to-week:

What time of day is best for you to receive reminders/updates?*MorningAfternoonEveningWhenever

Any relevant injuries/pains I should know about?

Do you have any medical conditions that could influence your exercise?* If you're taking any medications, please list side effects relevant to exercise. Ex: dizzy upon standing

Has your doctor given you permission to exercise?*YesNo

Do you have Instagram? If so, what's your @?

For a 30 minute introductory meeting to cover goals/expectations, would you prefer to meet via:*Video callPhone call

Thank you! Your submission has been received. I will get back to you within 48 hours.