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My coaching is personalized, so be as detailed as possible in your responses.

What is your occupation and how many hours per week do you work? *

How has this negatively impacted your health and fitness goals? *

Which best describes your nutrition for the last 30 days? *

Which of the following best describes your current goals/challenges? (select all that apply) *

I want to lose fat (lose weight)

I want to build muscle (gain weight)

Improve Performance (strength, endurance, etc.)

I want to improve my overall health, increase energy, etc.

What is it you are looking to gain from having a coach? *

What is the biggest hurdle you’ve been trying to overcome with your fitness? *

When you get home from work, how recovered do you actually feel? *

Energized, ready for the kids, and still have something left for me later.

Tired but functional. I show up for the family then crash early.

Drained. I do the bare minimum at home and zone out by 8 p.m.

Cooked. I'm a ghost by the time I walk through the door.

On a typical weeknight, how is your sleep? *

7+ hours — fall asleep fast, wake up rested.

6–7 hours, decent quality, occasional rough night.

5–6 hours, restless or wake up multiple times.

Under 5 hours or wake up exhausted no matter what.

Which of these have you been dealing with in the last 6 months? Select all that apply. *

Energy that crashes mid-afternoon.

Lost interest in training, or it feels like a chore.

Soft middle that won't go away despite effort.

Libido is lower than you remember.

Mood swings, irritability, or short fuse with the family.

Strength gains have stalled or reversed.

None of these — I'm dialed.

How is your energy across a normal work day? *

Steady all day, no crashes, sharp through the evenings with the family.

Decent until 2–3 p.m., then I need caffeine or sugar to push through.

Up and down — coffee runs the morning. I'm fried by 4 p.m.

Wrecked most days. The kids get the leftover version of me.

When work gets busy, how does your eating actually look? *

Prep meals. Hit my protein. Stay consistent regardless of schedule.

Mostly clean but skip meals or grab fast food 1–2x a week.

Coffee for breakfast. Late lunch. Big dinner. Winging it.

DoorDash, drive-through, or skipping meals most days.

Where is your head at right now, honestly? *

I'm done making excuses — I'm ready to commit fully and follow the plan

I want this bad, but I've let myself down before and I'm scared to bet on myself again

I know what to do, I just can't get out of my own way and stay consistent

I'm still testing the waters — not sure I'm ready to go all in yet

What is your commitment level to your personal results?

1. I’m extremely committed. I’m sick of my own bullshit, and I will do whatever it takes.

2. I’m committed enough to invest in my goals but I’m afraid of “missing out” on social events.

3. I know I need help to make a change but I’m not sure if I’m ready to fully commit.

First Name *

Email Address *

Phone Number *

Your information is private and will never be shared or sold.

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