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

First Name *

Last Name *

Instagram Username *

Phone *

Email *

Age *

What is your height? (feet and inches) *

What is your current weight in pounds? *

Which Coach are you looking to work with? *

Coach Austin

Coach Erin

Coach Jenn

What is your number one struggle right now (explain in detail) *

How long have you been struggling with this for? *

How many days do you currently exercise? *

How many days a week can you commit to exercising? *

Do you crave sugary foods often? *

Yes

Do you fall off track on the weekends? *

Yes

On a scale of 1-10, how serious are you about achieving your goals? (1 being not serious - 10 being 100% committed) *

When are you wanting to start your program? *

Where do you train? *

Gym

Home

Both

I haven't started

How often do you eat out each week? *

None

7x or more

What do you usually eat when you go out for food? *

Do you smoke regularly? *

Yes

Do you drink alcohol regularly? *

Yes

What do you do for work? *

WHY is it important for you to make these changes? *

What are your short term (1 to 4 months) and long term (5 to 12 months) goals? Be specific and explain in detail. *

How long have you been following me on social media for? *

30 days or less

3 months

6 months

1+ year

Our coaching program is not a cheap "cookie cutter" program. It's hands-on 1-to-1 coaching tailored to your specific goals. Why do you want to work with us? *

Are you in a place to financially invest in your health so you can lose fat, build muscle, and have the energy you're looking for? *

Cost isn't a factor and I'm willing to invest whatever it takes (exclusive VIP coaching, message me about waitlist)

Yes I am! I want a 1:1 customized program that guarantees me results ($150-300+/month)

I am in no place to invest financially ($0)

How did you hear about our services? *

Instagram

Facebook

Tiktok

Friend or Family

Newspaper/Magazine

Other

Who else would benefit from doing this program with you?

Do you have any other questions or want to tell us anything else about you?

Kourtney M.

Prechtelevate Client Success Story

Client Name

Prechtelevate Client Success Story