Hi there! I'm Jennifer and I am so excited at the possibility of working together to reach your health and wellness goals. Please be open and and as transparent as possible when filling out your application. If I see we are a good fit as a client & coach team, I will be in touch with you via email in the next 24 hours. Thank you and I'm looking forward to helping you Tighten Up Your Life!

First Name

Last Name

What are your wellness goals for the next 3-6 months?

Why are these goals important to you? Be very specific, the more detail the better!

Do you have any injuries (past and present) or surgeries/health conditions to note (i.e. PCOS, gastric bypass, hysterectomy, hypothyroidism, HRT, IBS, etc.)

Current workout routine & nutrition (food types, # of meals per day cardio, lifting....and how many days/minutes per week...honesty please)?

What past diets have you done? When was your last diet?

Have you counted macros or calories before? If so, how many calories are you eating right now?

Why do you want to work with me?

What is your biggest hurdle in getting to your goals AND why do you want to make a change now?

High level coaching requires an investment that starts at a few hundred dollars per month and I want us to be YES to work together - financially, physically and emotionally. Are you ready to invest in yourself?

Yes

I will figure out how to make this work

Age

Height

Current Weight