Application

Work With Zach

Please take a few minutes to fill out the application to work with Zach. He will reach back out within 24-Hrs.

Name *

First

Last

Email *

Your best email so we can send you the zoom link

Phone *

Your cell in case we don't receive email confirmation

Age *

What is your current weight and height? *

Which Service are you interested in? *

1-On-1
Nutrition OR Workout Plan Only
Consultation
Not sure

How did you hear about us? *

What is your main health and fitness goal that you hope to accomplish by working with me? *

What has been your main obstacle in reaching your health and fitness goals? *

What have you tried in the past to overcome these obstacles? *

Why is NOW a good time for you to take action and improve your health? *

Have you followed a nutrition and/or training plan before? *

Have you worked with a coach before? *

Limitations – Do you have any current/past medical conditions or injuries that could impact your ability to perform certain movements or exercises? Please explain further. *

How would you describe yourself as a client? *

I’m self-driven, just give me the plan & I will follow it 100%
I follow the plan most of the time, but also need flexibility
I’m willing to follow a plan but I lose motivation easily & require closer guidance
I prefer guidelines to implement as I have a hard time sticking to a plan

How many hours are willing & able to invest in your health & fitness week? *

Less than 1 hour
1-3 hours
3-5 hours
More than 6

Working with a coach is an investment in your health. Are you willing to invest in your health? *

I’m still deciding
I am willing to invest for the right price.
Whatever it takes, I am all in!

Anything else we should know? *

Name

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