Your Name (required)

    Your Email (required)

    What kind of exercise are you doing now and how often? Are you following a plan already?

    Is there a certain kind of exercise you enjoy or hate?

    Have you ever tried working out at home? If so what program or workout have you tried?

    Do you have any equipment at home?

    Is there anything you can’t do because of an illness or injury?

    How is your nutrition? Is that something you’re going to need some help with?

    Give me an idea of what you struggle with the most with your nutrition. Are you allergic to anything? Any intolerance?

    Who else would you like to get involved with you when you first get started?

    If I showed you how, would you like to be their coach, or me?

    After I read this application is there anything else you think I should know about you before I sit down and come up with my advice?