Apply for coaching - Get Healthier, Leaner and Stronger After 30

About
More

About
More

Consultation Appointment Request Form

Working with me starts here.
I only take on a handful of new clients each month. Every guy I work with gets my direct attention.
This form takes less than 2 minutes.
Your answers go directly to me and I'll review everything before we connect.

This is NOT for you if:
You're looking for a quick fix or magic pill
You're not ready to be consistent for at least 90 days
You want someone to just hand you a PDF and disappear
If you're serious about finally getting this handled, fill it out and lets chat!

First Name

Last Name

AGE

I take my time very seriously and im going to give you a ton of value. Are you commited to showing up on time and being present with a pen and notepad?

YES Absolutely not

What is your instagram username? (Example: @Jimmycolefit)

If accepted, do you have the finances to invest in your fitness journey?

Yes I'm ready Need to confirm budget No funds Just looking for free advice

Current body weight

What is your current activity level?

Sedentary — Desk job, little to no intentional exercise Lightly Active — Desk job, light movement 1–3 days/week (walks, occasional gym) Moderately Active — Some regular exercise 3–4 days/week outside of work Very Active — Consistent training 5+ days/week on top of daily responsibilities Athletes/Highly Trained — Structured programming, competing or performance-focused

Number one fitness/nutrition struggle right now

Primary health or fitness goal

Lose fat and keep it off Build muscle without living in the gym Get my energy and confidence back Fix my diet without restrictive eating Look and feel better as I get older All of the above

Anything else youd like to share

What country are you in?

Phone Number

Optimized by Seraphinite Accelerator
Turns on site high speed to be attractive for people and search engines.