"Fitness Goals
2021"
Quick 60 Second Tip!
Lesson 134

If you have unwanted body fat to lose or health issues you want to improve and are open to a conversation with me about it, please Text the word "RESULTS" to
520.400.9573
(24/7/365)

or Fill Out Form Below to
request a RESULTS COMPLIMENTARY
30 MINUTE
FITNESS COACHING SESSION by
ZOOM or PHONE so we can connect and get you started on your healthy path seamlessly. I will respond to you
within 24hrs.

This Form cannot be submitted until the missing fields (labelled below in red) have been filled in
Coaching Questionnaire
Please note that all fields followed by an asterisk must be filled in.
First Name*
E-Mail Address*
Home Phone*
What do you most want to change today?
Have you tried to change this before?
What have you tried in the past?
What happened with those approaches?
Why do you think it didn't work?
What do you see as your biggest challenge?
On a scale from zero to ten how important is it for you to make these changes once and for all?