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One-On-One Coaching Application

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! 

Click the button below to start.

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Question 1 of 20

First & Last Name

Question 2 of 20

Email Address

Question 3 of 20

How did you hear about Rachel Gregory?

A

Rachel's Book

B

Podcast - MetFlex and Chill

C

Rachel spoke at an event I attended

D

Instagram

E

Facebook

F

Online Search

G

Other

Question 4 of 20

Gender

A

Female

B

Male

Question 5 of 20

Age

Question 6 of 20

Height & Weight

Question 7 of 20

Where are you located and what is your current job/occupation? 

Question 8 of 20

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 20

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 20

Are you willing to track calories and macros to achieve your goals?

A

Yes

B

No

Question 11 of 20

Do you currently follow a specific exercise regimen? (please explain)

Question 12 of 20

Do you suffer from any medical conditions? (diabetes, autoimmune, high blood pressure, etc.)

Question 13 of 20

Tell me about your current situation. What are 3 things you’d like to focus on first if we were to work together?

Question 14 of 20

Would you rather:

A

Make VERY FAST progress that you know IS NOT sustainable?

B

Make a BIT SLOWER progress that you know IS sustainable?

Question 15 of 20

Please elaborate on your answer to the last question (fast vs. slow progress).

Question 16 of 20

Can you share some concerns, challenges, or current conditions you are facing or struggling with? 

Question 17 of 20

What thoughts, limitations or challenges do you feel are stopping you from committing to making the changes you are seeking?

Question 18 of 20

Can you tell me what you have tried so far to solve these problems?

Question 19 of 20

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 20 of 20

Anything else you’d like me to know?

Confirm and Submit