1-on-1 Coaching

Application

Name *

First Name

Last Name

Email *

How old are you? *

What’s your height? *

What’s your biggest performance goal? *

What’s your biggest challenge right now?

struggling with confidence

inconsistent results

low energy or burnout

mental blocks or lack of focus

other

How committed are you to solving this now?

I’m not and fine how things are

Somewhat, just seeing what happens with my plan

I’m exploring options

I’m serious but need right support

I’m ready and willing to invest in myself

What describes your current level?

Beginner, learning the ropes

Aspiring amateur (just getting serious)

Competitive athlete (collegiate/pro)

Professional athlete

Entrepreneur/Exectuive with an athletes mindset

Have you worked with a coach before?

No, but I’m open

Yes, and it was ok

Yes, and it helped

What are you wanting to get from a coach?

If we were a great fit, what results would you want in the next 90 days?

Are you willing to financially invest in your goals?

No I think what I’m doing is working

I’m not sure if I can financially commit

Yes! Whatever it takes to reach my goals

What’s your phone number?

What’s your Instagram handle (if applicable)?

Thank you!

Based out of Austin TX

jmize135@yahoo.com