Thank you for your interest in working with me!
Please take a moment to complete this application in as much detail as possible. Please note that the answers will not save if you exit out of the page without submitting it at the end. I'd recommend blocking off at least 10-minutes to complete this!
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Question 1 of 17
First & Last Name
Question 2 of 17
Email Address
Question 3 of 17
How did you hear about Rachel Gregory?
Rachel's Book
Rachel spoke at an event I attended
Instagram
Facebook
Online Search
Podcast
Other
Question 4 of 17
Where are you located and what is your current job/occupation?
Question 5 of 17
Gender
Female
Male
Question 6 of 17
Age
Question 7 of 17
Height & Weight
Question 8 of 17
Do you currently (or have you ever in the past) followed a specific dietary protocol? (i.e., Ketogenic, Atkins, Vegetarian, Vegan, Paleo, IIFYM, etc.) Please explain.
Question 9 of 17
Do you currently track Macros (calories, carbs, fat, protein) using a tracking app? If no, have you tracked macros in the past?
Question 10 of 17
Do you currently follow a specific exercise regimen? (please explain)
Question 11 of 17
Do you suffer from any medical conditions? (diabetes, autoimmune, high blood pressure, etc.)
Question 12 of 17
Tell me about your current situation. What are 3 things you’d like to focus on first if we were to work together?
Question 13 of 17
Can you share some concerns, challenges, or current conditions you are facing or struggling with?
Question 14 of 17
What thoughts, limitations or challenges do you feel are stopping you from committing to making the changes you are seeking?
Question 15 of 17
Can you tell me what you have tried so far to solve these problems?
Question 16 of 17
How willing and able are you to invest in yourself at this time? (time, resources, finances, current commitments).
*Please note that I require a minimum 3-month commitment for all one-on-one clients.
Question 17 of 17
Anything else you’d like me to know?