Intake

Online 1-on-1 Coaching Application

Dare2Dominate Online Coaching Application

Thank you for considering me as your coach and taking the first step towards your health and wellness journey. I am committed to helping individuals like you achieve their fitness goals and lead a healthier lifestyle. Please note that I am only looking for clients who are dedicated and ready to make a serious commitment to their well-being.

The Dare2Dominate Accelerator is a Christ-centered, transformative coaching program designed to help you achieve your God-given physical potential while nurturing your spiritual journey. We're here to support dedicated women of faith who know they're capable of change but need that extra guidance to fully realize their goals.

If you're ready to honor your body as a temple, train with purpose, boost your metabolism, and free yourself from food-related anxieties and 'what-ifs' about your progress, you've come to the right place! Let's dive in and see if our personalized 1:1 coaching aligns with your path to becoming the strongest version of yourself - inside and out.

First Name

Last Name

Phone

Age

Weight (lbs)

Your Height

Feet (ft)

Inches (in)

City

Country

State/Province

Zip/Postal Code

Instagram handle? ( this is mandatory for contact purposes) *

What are your primary fitness goals?

What are your spiritual goals? (If applicable)

Current Activity Level *

What BEST describes your goals? ( You might have more than one, but pick 3 TOP goals)

What things have you tried to help reach this goal?

Have you worked with other coaches before? If so, explain your experience?

What do you feel is the biggest thing holding you back from reaching your goals right now?

Fast forward a year from now - where do you want to see yourself? What does your physique look like? Your life look like? How do you feel?

Describe what a typical day of eating looks like for you right now? (include if you calorie/macro track!)

What made you pick Dare2Dominate specifically?

How committed and ready are you to invest in a high-quality coaching program?

If you are able to get results and build your dream life, would you be willing to make a long term investment in your health? (think 6+ months!)

Would anyone else be involved in making a decision to take action and invest in your health with you?

Are you a student (in college/ university) or active military? If so, which one?

I will reach out to you via text or Instagram DM, so please ensure you will check your DM within 48 hours!

When is your Preferred Start Date?

Terms and Conditions: By submitting this form, you agree that:
All of the information listed on this form is correct and is true to the best of my knowledge. I understand that this form is to inquire about personal training opportunities and does not guarantee personal training services. If more information is needed I am willing to provide it. I have sought out any necessary medical advice and have been cleared to participate in personal training. I understand that all of the information provided will be kept confidential.

I accept terms & conditions