Get in Touch

Please take a few minutes to complete this form. Your answers will help me understand your goals and lifestyle so I can create a personalized fitness plan for you. All responses are confidential. Thank you — I’m excited to help you reach your goals!

First name*

Last name*

Phone*

Email*

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Birthday*

Month

Day

Year

What is your height and current weight? *

What type of coaching are you interested in?*

Online 1:1 Coaching

In Person 1:1 Coaching (Austin, TX Only)

Have you ever worked with a coach or trainer before? What was your experience like? If not, put N/A.*

What is your primary fitness goal?*

Lose Fat

Build Muscle

Gain Strength

General Health

Other

Why this goal is important to you?*

Realistically, by when would you like to achieve your goal?*

What has held you back in the past from accomplishing your fitness goals?*

Time

Motivation

Accountability

Knowledge

Injury

Other

What do you feel is your biggest obstacle right now, please describe?*

How would you rate your current fitness level?*

Beginner

Intermediate

Advanced

On a scale of 1–10, how would you rate your current nutrition habits?*

Are you interested in nutrition coaching?*

Yes

Transformations require time, consistency, and investment. Are you currently in a place where you’re ready to prioritize your health and commit to a coaching program?*

Extremely committed and ready to invest in myself

Somewhat committed - just need more information

Not committed

Is there anything else you would like share with me before we hop on our video call?

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