Application — HP Fitness and Nutrition

Application for Coaching

I’m so glad you’re here! This form is just for us to get to know you, and to see if we are the best fit for you on your journey to wellness. Once you’ve submitted we will be in touch shortly with more details about our process.

Name

First Name

Last Name

Confirm Email

Phone

(###)

###

####

What services are you interested in?

1:1 Lifestyle Coaching

Nutrition Consultation

Strength Training

Coaching/Training Combo

Do you have experience tracking macros?

(It is okay if you don't!)

Yes

Do you have any concerns about your body, habits or nutrition?

(Please keep in mind that I am a not a doctor and that you should seek professional medical help for serious health concerns)

Have you tried anything in the past to change any of the things listed above?

Can you tell me more about what did/did not work for you?

In one sentence, please tell me what your primary goal is.

What do you feel has held you back from achieving this?

What are some expectations you have for a coaching experience?

Have you considered your budget and the financial commitment to hiring a coach?

I am ready, willing and able to commit to coaching for:

I am ready, willing and able to invest $200+ monthly into my health:

How did you hear about HP Fitness + Nutrition?

Please recognize that it is your responsibility to work directly with your health care provider before, during, and after seeking nutrition and / or fitness consultation. Any information provided is not to be followed without prior approval of your doctor. If you choose to use this information without such approval, you agree to accept full responsibility for your decision.

Agree

Application for Coaching

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