Basic Personal Infomation

First Name *

Last Name *

Age *

Phone *

Email *

Business/Industry *

Health & Fitness Background

How would you describe your current physical fitness condition? *

Strength

Speed

Recovery

Endurance

What is your current weekly workout routine? *

If you have worked with a trainer or performance coach before, please let me know: Where, Who the trainer was, and What you liked/disliked about their coaching approach.

Have you followed any specific training methods (CrossFit, bodybuilding, functional fitness, endurance training, etc.)? Please list any injuries or physical limitations. *

How would you rate your energy levels throughout the day? *

High

Steady

Low

Up & Down

Do you track key health markers (HRV, bloodwork, sleep, body comp, macros etc.)? *

Yes

No

Goals & Challenges

What are your top 3 health & performance goals right now? *

What specific challenges are preventing you from achieving these goals? *

What hobbies or sports do you enjoy that require you to be in great shape? *

Time and Commitment

Are you willing to follow structured programming and data-driven coaching? *

Yes, I thrive on structure

Yes, but I need accountability

No, I prefer freestyle training

How many hours per week can you commit to training & recovery? *

3 - 5 Hours

6 - 8 Hours

9+ Hours

Investment & Readiness

Why is now the right time for you to invest in coaching? *

What makes you a great fit for this program? *

Are you prepared to invest $1,500+/month in your performance & longevity? *

100% Committed

Need More Details

Not Sure

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