Select A Program To Match Your Goals
Nutrition Coaching + Habit Building / Mindset Work
$500 (one-on-one, month by month cost), $250 (group coaching 5-week program)
- Initial phone consultation (one-on-one)
- Programming of initial nutritional needs for sustainable/achievable change
- Assistance with meal planning and understanding macros/flexible dieting
- Daily task/ journal prompt
- Develop long term change through habit building in all areas of life: body, being, relationships, and business
- Weekly phone call (one-on-one) or zoom call (group) for check-ins and goal setting
- 24/7 access to me for questions via email, text, and call
Together We Will Achieve Amazing Results With The SAMPLAN
Preview a gallery of great before and after images of clients just like you.
Apply For 1-on-1 Coaching
Complete the form below answering all questions as completely as possible.
Attach photos and submit. I will review your information and respond
via email within 24 hours to your request.
- General Information
- Diet History
- Exercise Routine
- Current Photos
Select Training Tier Desired
Date of Birth
What is the heaviest you've ever been? When was this?
What is the lightest you've ever been? When was this?
How would you describe what you look like right now? How happy are you with it?
What are your current goals?
Would you describe yourself as actively dieting or attempting to lose weight more often than not in recent months/years?
How often do you eat out or get take out, or food you do not cook yourself?
Have you ever tracked calories and/or macros before?
How often do you consume alcohol?
Please list all non-prescription supplements you are currently taking including but not limited to proteins, meal replacements, vitamins, etc:
Do you have any dietary restrictions? Vegetarian, Vegan, Gluten Intolerance, Diabetic / Pre Diabetic, Religious, Lactose Intolerance, or any other – please state and give as much background as possible.
Are you now or have you ever sought treatment for disordered eating of any kind? [Bulimia, Anorexia, Binge Eating, etc]
Please list current macros if applicable
Do you have any past or present injuries, physical disabilities, or doctor recommended restrictions?
Does your current schedule and workload allow you to commit to 5 days per week of weight training and/or cardio?
Please describe your current weight training routine (or you may attach your current program) Including the number of sessions per week, bodyparts, rep ranges and sets:
How much cardio are you currently doing? [Number of days per week, duration, and intensity (For example: 3, 15 minute jogging sessions, 1 bootcamp class of 1 hour)]:
How many years have you been weight training for?
THE FOLLOWING ARE THE MOST IMPORTANT QUESTIONS YOU WILL ANSWER. PLEASE GIVE FULL ANSWERS. NOT JUST A YES OR NO. REMEMBER- I ONLY WORK WITH THOSE READY AND WILLING TO COMMIT TO THEIR GOALS SO PLEASE USE THESE AS AN OPPORTUNITY TO TELL ME WHY YOU ARE AN IDEAL CANDIDATE.
What are the most motivating factors for you to lose weight and improve your physique?
What do you anticipate could be the most likely factors to discourage you, tempt you to cheat or stray from the plan or deviate from your goals in any way?
The trainer-client relationship should be mutually beneficial, and the best way to go about this is by having 100% honesty. Are you willing to commit to this change long-term, keep an ongoing and honest dialogue with your trainer, for better or worse, and follow the programs and tools made available to you?
Please include current pictures (front, side, back). These are required for determining body type, assessing body composition, setting goals, and putting together an initial diet and workout plan. Please make sure they are clear and show you fully from head to knee or feet. Progress picture protocols: Ladies: Sports bra and compression shorts or a bikini Gentlemen: briefs or compression shorts.
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