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Whole Health: A Better Way Back
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Whole Health: A Better Way Back
Foundational Physique
Arm Authority
Curves & Core
Beginner Build
Apply

BUILTBYJENKY

1:1 Online Coaching Application

Please answer as honestly and thoroughly as possible. This application helps me understand your goals, current routine, training background, nutrition habits, lifestyle, and what kind of support you may need.

If accepted, your answers may be used to help build your coaching plan, so the more detail you provide, the better I can coach you.

Full Name*

Email Address*

Instagram Handle

Age*

What is your main goal right now?*

Why are you interested in coaching right now?*

Which coaching option are you leaning toward?*

Performance coaching

Elevate coaching

Ascend coaching

Not sure yet

How long have you been training?*

Less than 1 year

1-3 years

3-5 years

5+ years

What does your current training routine look like?*

What does your weekly schedule look like for training?*

What equipment do you currently have access to?*

Full gym

Basic commercial gym

Home gym

Dumbbells only

Bands / bodyweight only

Field / track access

Other

How would you describe your current nutrition?*

Very consistent and structured

Fairly consistent, but I need more structure

Inconsistent

I struggle with knowing what to eat

I know what to do, but struggle to execute

I’m not focused on nutrition right now

What does a normal day of eating look like for you?*

How would you describe your sleep, energy, stress, and recovery right now?*

Do you have any current or past injuries, pain, limitations, or health conditions I should know about?*

What area(s) do you want the most support with?*

Training

Nutrition

Body composition

Overall health

Lifestyle / habits

Sleep / recovery

Energy / focus

Discipline / mindset

Accountability

Other

What do you feel is currently holding you back the most?*

Are you ready to communicate honestly, complete check-ins, and follow the plan to the best of your ability?*

Yes

Mostly yes

Not fully sure yet

I understand this application does not guarantee acceptance. I understand coaching is not medical advice, diagnosis, or treatment. I understand accepted clients may need to complete additional forms, agreements, or payment setup. I confirm my answers are accurate and honest to the best of my knowledge. I agree to the Terms & Conditions, Privacy Policy, and Refund Policy listed on this website.

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