Application for Coaching

RSLNT AESTHETICS INQUIRY FORM

Serious inquiries only!! Once form is complete you will choose a time to book a call with me. If application is not valid call will be cancelled.

First Name *

Last Name *

Email *

Phone *

Age (Must be 18+) *

Country you currently live in *

Instagram *

Which of the following best describes your current goals/challenges? (select all that apply) *

Fat loss

Build muscle

Meal Planning

Contest Prep (Bodybuilding Prep)

Off Season Prep (Off season leading into bodybuilding prep)

Posing Coaching

Which best describes your nutrition for last 30 days? *

I track my meals and macros

I'm following a meal plan

I have tracked my food or diet in past, but have not been lately

I have no idea where to start with my diet/nutrition

What do you do for work? *

What is the biggest hurdle you’ve been trying to overcome with your fitness? *

What is it you are looking to gain from having a coach? *

Any medical conditions I should be aware of? *

What is your commitment level to your personal results? *

1. I’m extremely committed. I’m sick of my own bullshit, and I will do whatever it takes.

2. I’m committed enough to invest in my goals but I’m afraid of “missing out” on social events.

3. I know I need help to make a change but I’m not sure if I’m ready to fully commit.

I understand that before moving forward with call, that this is an financial investment and coaching is a premium service ($250-$400 a month). *

I agree

I disagree