Intake Form

First and Last Name *

Age *

Gender *

Email *

Phone Number/Skype Username/GoogleHangout username *

What’s your favorite quote? *

What’s your favorite TV show/Cartoon? *

Who is your favorite musical artist? *

Have you had a coach before? *

In an ideal world, in three years what shape would you be in? *

Favorite foods? *

Favorite Exercises? *

3 month goals? *

How did you hear about my online coaching? *

Why did you choose to apply for coaching? *

Why do you think I can help you? *

What do you think I can help you achieve? *

On a scale of 1-10, 1 being "I just want to sit on the couch eating Szechuan sauce watching Rick and Morty" and 10 being "I’ll drink raw eggs like Arnie", how committed are you to achieving your fitness goals? *

Is there anybody else who may be involved in your decision to hire a coach or stick to a fitness program? *

Corporeal Status, are you Robot or Human? *

Online Training Intake Form