Powered By Shaw Raleigh - Online Coaching & Training

Customized Meal Planning and Guidance
Customized Workouts / Training Routines
Supplement recommendations
Weekly Check-ins
Monthly Video Calls
In App Chat Support
Mental Strategies and Support
Accountability and Encouragement
Online Portal/Training App
Satisfaction Guaranteed

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Coaching Application Intake Form!

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Name: *

Location: *

Number: *

E-mail address: *

Age (Date of Birth): *

Weight and Height: *

Health Conditions: *

What do you do for work and how active are you? *

Do you have experience with meal prepping and/or tracking food? *

How many meals do you currently eat and how much water do you currently drink? *

This is a premium coaching service. If we decide its a good fit to have you join the program, are you prepared to invest in yourself and goals?

Yes

Physical and Mental Goals in Detail? (Fitness, Health, Mental) *

What supplements do you take if any? (Vitamins, Protein powders/etc.) *

What does your daily routine look like? (IMPORTANT!!) What time do you wake up? What time do you go to bed? What time do you go to work? etc... How many days do you currently workout/cardio? Please be specific: *

For me to create a good meal plan, List foods that you struggle to eat or don't like at all? *

What is your WHY? (ex.why do you want to make a lifestyle change?, why do you want to lose weight?, gain muscle?. What will give you the passion and determination to keep pushing forward?) *

Do you have a support system? *

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