Coaching Application

Let's see if we can work together

First Name

Date of Birth

Phone #

Last Name

Email Address

IG Handle

Are you currently following a carnivore/animal-based diet or another way of eating? Please give details (regular foods you eat, how much have you been eating, how long, favorite foods, meal frequency, if tracking calories/macros what they are)

What does your current exercise regime consist of? (frequency, type of exercise, duration)

In a year from now, what does your dream physique look like? (be specific - rid of excess weight, no belly fat, abs, muscle definition, big shoulders, bigger booty)

What do you think is holding you back RIGHT NOW? (time, job, discipline, diet, workout routine, friends, family, weekends, etc)

How is your fitness progress going?

Poorly (I've let myself go)

Struggling (make some progress then fall off the wagon)

Thriving (just looking for the next step)

What is your intention for filling out this application?

I'm ready to commit and change my life!

Interested but looking for more info

Really just looking, not in place to commit

If you could begin making fast progress towards your fitness goals, would you be interested?

Yes

No

Maybe

Are you willing and able to financially commit to your health?

Yes

No

What kind of help are you looking for right now? **These are NOT levels to our coaching. This is simply asking what YOU are looking for in a fitness program/coach***

DIY solution ($) (I'm tight on money and would rather do it myself)

I want a ‘done with me solution’ ($$) (Do the work myself w/ specific coaching on what to fix)

I want a complete Hands On Solution ($$$) (Money's not an issue for you. Want 1 on 1 custom coaching)

If accepted to our program, please be aware we DO NOT offer nutrition only coaching.

That's fine with me!

I'm still interested

Nevermind.

How did you hear about BUTTERFUELED coaching?

Do you have any past/current injuries, medical conditions, or dietary restrictions that will affect training AND diet?

Are you currently following a specific program you found/bought or committed to another coach/trainer? If so, please tell us what the program is and explain.

Submit

Your content has been submitted

An error occurred. Try again later