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This Is How I Can Help!

Working with me will get you on the direct path to your goals. I equip my clients with powerful tools to help mobilize them into taking immediate and effective steps towards optimizing their time, actions, and mindset to achieve their goals.

Together we will:

Connect the dots between who you are and who you want to be.
Set your personal goals.
Create your personal blueprint!

The first step to getting started as a client is to complete the application form below.

GETTING STARTED

* Indicates required field

Name *

First

Last

Height *

Weight *

Gender *

Email *

Phone Number *

City? *

State? *

Occupation *

Tell us about your current fitness and health:

Have you ever been on a Self Betterment program? *

Yes No

How many day a week are you looking to train? *

Are you on any medication or have any medical issues? Do you have injuries, or limitation? *

If yes, list them here *

Your nutrition level? *

Your stress level? *

Your sleep level? *

Do you have any cravings? *

Sugar Starch Salt

Have you ever worked with a Nutritional Coach? *

Yes No

What are your top goals? *

How important is reaching these goals? *

Very Important Neutrally Important Not to Important

Do you belong to, or have access a gym or fitness center? *

Yes No

If yes, what's the name? *

Do you have the Abs & Fitness Deck? *

Yes No

Are you interested in Online Coaching? *

Yes No

Submit

GETTING STARTED

Tell us about your current fitness and health:

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