Name
*
First Name
Last Name
Email
*
Phone number
*
Address
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Birthdate
MM
DD
YYYY
What is your occupation?
What is your Instagram handle?
Is this your first time competing or have you competed before?
If it is your first time, what is it that encouraged you to want to compete? What sparked the idea? What excites your or scares you about it?
How would you rate your current stress levels?
*
Low to moderate
Moderate, but manageable
Exceptionally high levels of stress
What is your current training split like? If you are not currently training, please mention that here
How long have you been training in the gym consistently for?
1-2 years
3-5 years
6+ years
I have not done a training program
Please list any dieting / competition history here
Do you have experience tracking food? If so, what was your experience?
In the last 10 years have you taken any performance enhancing drugs, steroids or hormones?
*
This is not to judge, but rather to see if I am the right coach for you as I coach 100% naturally. There are different timelines for different substances if you want to compete in a natural federation, so it is important to know which we can discuss.
No, I have never taken anything
Yes, I have taken them in the past
Yes, I am currently
Have you worked with a personal trainer or coach before?
*
Yes
No
If so, what was your experience like/ protocols?
Are you ready to make a mental, physical and financial investment in yourself?
*
Yes, I am looking for monthly payment plans
Kind of
No, I am not
Yes, I need this for me!
Do you have any questions or anything else you would like to add or mention before we book our chat?
What time window during the day (M-F) works for you for a 30-45 minute consultation?
9:00AM - 11:00AM MST
12:00PM - 4:00PM MST
5:00PM - 6:00PM MST