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Fill out the questionnaire below to apply for online coaching.

I’ll be in touch with you within 48 hrs of your application.

Your Name

Your Email


How did you hear about me?

If you could have any super power, what would it be?


How many times a week do you currently workout?

Brief description of goals

Any pre-existing injuries? Explain

How experienced are you with lifting weights?

Up to this point, what has held you back from reaching your goals? (Be honest)

How motivated are you to reach your goals?

Why do you want me to be your coach?

Why do you think you would be a good client?

Are you willing to invest $100 - $300 per month in your fitness?
YesNo, I will do it on my own.

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