Application for Coaching

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

First Name *

Last Name *

Instagram/TikTok Handle *

Phone *

Email *

I am *

Under 30

30 - 40

Over 40

What piece of content made you want to apply? *

This can be a reel/tiktok you saw or maybe a guide you received!

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.

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

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

Have you been diagnosed with an eating disorder? *

Have you been diagnosed with a mental health disorder? *

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

What are you looking to achieve in the next 6-12 months? *

What happens if you do not do anything to reach your goals? *

Are you ready to pay for online coaching with me, including meal & workout plans, 1:1 guidance & accountability to reach your goals? *

I’m ready to commit. I’m sick & tired of being sick & tired.

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

Anything else you'd like to add before booking?

Fumero Fitness LLC