Take 3–5 minutes to complete this questionnaire. Your responses help me understand your goals, history, and lifestyle so we can create the perfect program for you.
Personal InfoFitness GoalsHealth & HistoryLifestyleCoaching Preferences
Your information is kept completely private and confidential.
Step 1 of 5 — Personal Information
Tell Me About You
Let's start with the basics so I know who I'm working with.
Please enter your name.
Please enter a valid email.
Please enter your phone.
Please enter your age.
Step 2 of 5 — Fitness Goals
Your Goals
Tell me what you're working toward. The more specific you are, the better I can help.
Build muscle & tone up
Grow my glutes
Lose body fat
Get stronger overall
Learn proper technique
Full body transformation
Build healthy habits
Post-pregnancy recovery
Please select a goal.
Complete beginner
Some experience (on/off)
Intermediate (consistent 2–3x/wk)
Advanced (4+ days/week)
Please select your experience level.
Step 3 of 5 — Health & Medical History
Health & Medical History
Your safety is my priority. This information is completely confidential.
No injuries or limitations
Minor — managed & stable
Yes — active injury
Post-surgery / recovering
Please select an option.
Yes, fully cleared
No recent doctor visit, feel healthy
Currently consulting a doctor
Please select an option.
Step 4 of 5 — Lifestyle
Your Lifestyle
Understanding your daily life helps me create a program that fits seamlessly into your schedule.
Please select your occupation type.
Yes — commercial gym
Home gym with equipment
Home with minimal equipment
No gym access currently
Flexible — both gym & home
Please select your gym situation.
Please share your availability.
I eat well and track macros
I try to eat healthy — inconsistent
I don't pay much attention yet
I need a lot of help with nutrition
Step 5 of 5 — Final Details
Coaching Preferences
Almost done! Help me understand how you like to be coached and what's holding you back.
1-on-1 in-person training
Online coaching
Custom workout program
Not sure — help me decide
Please select a coaching type.
Please share your biggest challenge.
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Application Received!
Thank you for taking the time to complete this questionnaire. Your responses have been recorded and I will personally review them within 24–48 hours.
The next step is to schedule a free 20-minute Zoom consultation — pick a time below that works for you. This call is completely free, no pressure, no commitment.
Schedule Your Free Zoom
Pick a time that works for you. Our 20-minute call is completely free and no commitment required.
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To enable live calendar booking, create a free account at calendly.com and share your booking link with us — we'll embed your calendar here automatically.
In the meantime, email us directly to schedule your free consultation call.
