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

Coaching Inquiry Form

Please provide some brief background on yourself and your

goals/services you are interested in.

Full Name *

Age *

Phone number *

Email address *

Instagram Handle *

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

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

Why are you interested in coaching/what would you like to accomplish? *

What have been your biggest obstacles in making progress? *

If you are dealing with a health related issue, please describe it along with related symptoms and diagnoses. This could be related to gut health, hormones, autoimmune, fertility, etc. Otherwise enter "NA". *

If the above applies, please give some brief background on any interventions you have tried (medical, other coaching services, etc.) *

Any supplements/medications you are currently using? Including current or prior PED use and any OTC drugs like antihistamines, antacids, and NSAIDs. *

Are you willing to invest in your fitness/health goals? *

Yes

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