Coaching Questionnaire Name(required) Email(required) Are you currently working with a coach?(required) No Yes What are your current health and fitness goals? (required) How would you FEEL if you hit those goals?(required) What are your biggest challenge(s) that have prevented your from reaching your health and fitness goals?(required) What are you currently doing as far as exercising and dieting/nutrition?(required) What would you do or become if you knew you could not fail?(required) Do you have any past/current injuries or health issues I should know about? Submit