Coaching Application First NameLast NameUser Email*AgeHeightWeightHow much experience do you have in the gym?What are your current goals?How long have you been working towards these goals?What steps have you made towards reaching these goals in the last 8-12 weeks?What is your current training and cardio?What is your current diet? (Please be honest and include things like snacks, drinks, etc.)What supplements are you currently using?Do you have a history of disordered eating, exercise bulimia, or body dysmorphia?Do you have any current injuries that interfere with training or everyday life?If yes, have you received any help for these injuries? (Chiro, MD, PT, etc.?)Do you have any experience tracking your food/calorie intake? (Utilizing a food scale)What type of things have/have not worked for you in the past?Have you worked with a coach/trainer before?What are your expectations of a coach?How much communication do you need from a coach?Can you commit to checking in at least 1 time per week?Any addition information:Password*Register Error occured. Please confirm your data and submit again: