Personalized Fitness Program Application I’d love to create a custom fitness training program for you. STEP 1: Let’s get started. Please fill out the personalized fitness programming application below with as much detail as possible. STEP 2: Once you’ve submitted your application, I’ll review your submission and will reach out to you to start the coaching process.STEP 3: Your custom training program will be ready for your target start date. This can be as soon as a few business days. Name * First Name Last Name Email * Height * Age * Current Weight * GOALS? * Check all that apply Lose weight Decrease bodyfat Build muscle Increase cardiovascular health Improve fitness levels Get stronger If weight loss is one of your goals, do you have a goal weight in mind or an amount of weight you'd like to lose? * Any orthopedic conditions, injuries, or exercise restrictions? Please list, if any: * How would you describe your fitness experience: * Beginner: new to workouts and/or it's been a while since I've trained Intermediate: comfortable strength training and have lifted weights for at least 2 years Advanced: very comfortable lifting weights and being challenged with advanced movements Do you wear a fitness tracker like an Apple Watch or FitBit? * How many steps a day do you average? * Tell me about your weekly fitness routine. What kind of workouts do you do and how often each week? * Strength Training: How many times per week do you lift weights? * 0: none currently 1-2: a few lifting sessions per week 3-5: several strength training sessions per week 6-7: almost daily Strength Training: Please tell me about your current strength training routine, classes, or programs you follow. What do you like? What do you dislike? Do you have any specific training goals? * Cardio: How many times per week do you do cardio? * i.e. running, biking, HIIT sessions 0: none currently 1-2: a few lifting sessions per week 3-5: several cardio sessions per week 6-7: almost daily Cardio Training: Please tell me about your current cardio training routine, classes, or programs you follow. What types of cardio do you enjoy? What do you dislike? How long are the cardio sessions you do (i.e. 45 minute runs, 15 min HIIT session, 30 min biking, etc)? * How many hours of sleep do you get a night on average? * Stress Levels: Are you currently going through anything that is causing your stress levels to peak? * Do you have chest pain when performing physical activity? Yes No Are you currently pregnant or have you been pregnant recently? Yes: I am currently pregnant Yes: I was recently pregnant (in the last 6 months) No: I am not pregnant At what pace would you like to work towards your goals? * ( please select from the drop down menu below ) Aggressive & Strict: Prefers to commit to a strict plan for quicker results. Moderate: Wants some flexibility and wiggle room to enjoy indulgences in moderation but is results driven. Slow & Steady: Ok at moving at a slow but consistent pace to include more flexible eating options. Where do you plan to workout with a custom program? * At home At the gym, I have a gym membership Both. I plan to workout at the gym and at home. Please list the gym equipment you have access to or would like to definitely use on your program: * Nutrition Habits: Have you tracked macros before to fuel your fitness training? * Are you also interested in 1:1 Health Coaching and want to set up a free Comprehensive Health Consultation? * Yes: Let's look at 1:1 Health Coaching too No: I just want a Custom Fitness Training Program created for me How soon do you want to start your fitness training program? Do you have a target start date in mind? * Thank you!