1-on-1 Coaching Application

**PLEASE READ THIS FIRST**

Hey there!

First off, a big THANK YOU for for your interest in our coaching program!

I have created this program for people who have been struggling to achieve their dream body and who have tried all diets out there, only to be left feeling discouraged, exhausted, restricted, and with an awful relationship with food.

Sound familiar? If you're like me, you've been through tons of diets and none seem to work.

But guess what? It's not your fault—it's the diets themselves that are the problem!

We are here to show you that you can still enjoy your favourite foods like 🍩 or 🍕 and still see awesome results, just like all our happy clients.

So, if you're ready to go ALL IN, invest in yourself, and change your life while healing your relationship with food forever, you are in the right place.

But before we get started, we want to make sure that our program is the right program for for you, so we need to learn a bit more about you.

Quick heads up: we only have space for 5-10 people each month because we want to give everyone top-notch support.

THIS PROGRAM IS NOT FOR ANYONE:
* Under the age of 19
* Unemployed or financially unstable

Ready to kickstart your transformation?

"Please don't fill out this form unless you're absolutely committed and ready to invest in yourself mentally, financially, and energetically.

I'am only looking for individuals who are ready to go all in on their goals.

Full Name *

Age *

What's your email address? *

Best way to contact you? *

(please provide your phone number if you prefer me to contact you via text message )

What's your Instagram username? If you don't have one please leave a link to your FB profile! *

Make sure to follow me on IG @martina_fit_yyc as I will be reaching out in the DMs. Make sure to check your messages!

Where are you located? *

What's your #1 goal? *

What's your height (feet) and weight (pounds)? *

What is stopping you from achieving your goal? *

(explain in detail)

How long have you been struggling with this? *

(e.g., number of years/months)

I want to hear your WHY. Why do you feel it's important that you make a change now? *

What have you tried in the past? *

(e.g., number of years/months)

Why did it fail? (lacked commitment, not enough time, not enough information, too hard, etc.) *

How your typical day of eating look like? *

(types of foods, portions etc .. be as detailed as possible please)

What do you usually eat when you go out for food? *

List restaurants and menu items

What is your occupation? *

Work environments have a HUGE impact on stress and, therefore, fat loss. This helps me understand what kind of obstacles we'll be up against + how to best navigate your day-to-day to help you achieve your goals no matter your job.

Do you have a significant other? If so, are they supportive of you potentially investing in your health, personal growth, and goals? *

yes i have a significant other and they are VERY supportive

yes i have a significant other but this 100% my decision to make

yes i have a significant other and i will need to speak to them before making a decision

nope 👎 it's just ME !

My coaching program is not a cheap "cookie-cutter" program. It's a hands-on 1-to-1 coaching tailored to your specific goals and needs. Why do you want to work with me? *

(explain in detail)

Please upload a SIDE photo of your physique.

You may use shorts & a sports bra, or a bikini. Mid section must be shown. *

Upload a side-view photo of your physique.

Please upload a FRONT photo of your physique.

You may use shorts & a sports bra, or a bikini. Mid section must be shown. *

Upload a front-view photo of your physique.

Please upload a BACK photo of your physique.

You may use shorts & a sports bra, or a bikini. *

Upload a back-view photo of your physique.

If I accept you into my program, are you at a place where you’re willing to invest in your goals? *

YES, I do, and I will do whatever it takes to achieve my goal.

Yes I do, and I am willing to invest, but I need to be sure if fits the budget.

My budget is tight but if the program guarantee results i will make it work!

Yes I am, but i don't really have the funds to invest into my health right now.

No, I am not, I'm just looking for some free advice

On a scale of 1-10, how serious are you about achieving this goal? *

( 1 being "I am not ready at all" and 10 being "I am 100% ready and willing to take action today)