Apply To Work One on One with Me!

Your Name

Your Email

Your Age

Your Occupation

Give me a detailed summary of your health and fitness goals

Please explain your current training routine if any

Please explain your current nutrition/ dietary protocol if any

What's been your biggest challenge from achieving your goals (i.e. training, nutrition, accountability, etc.)

Can you commit to training in a gym (or home gym) 3 or 4 days per week?

Absolutely, 3-4 Days per week and I have access to a gym (or a home gym)

No, 3-4 Days cannot work for me or I do not have access to a gym

The demand to work with me is high. If you believe we are a good fit, are you ready to start right away?

Absolutely, I'm ready to start ASAP.

Not anytime in the near future.

I only take clients who are serious and willing to financially invest in their health and fitness. Are you willing to invest in yourself if you feel we are a good fit?

Absolutely, I have adequate financial resources and am willing to invest whatever it takes, my health & fitness is a top priority!

Maybe, I have adequate financial resources and am willing to financially invest, but I'd like to discuss details.

I am currently limited in financial resources and cannot afford much at this time.

I am currently unable to financially invest any resources towards my health and fitness

How did you hear about my program? If referral, please type their first & last name

Your IG Username/Handle

Phone Number