Please tell us about yourself!

(If you are reaching out on behalf of an organization, please contact us from the page linked here.) If it's just you, then you're in the right place! Our unique process is all about helping you achieve strong, lasting results - if you are interested in working with us, please take a few minutes to complete the application form below. Both your time and our time are valuable - we request this initial information so we can determine if we are a good fit and how to best help you achieve your goals. Please answer the questions to the best of your ability, considering your current situation, habits, and beliefs. There are not any specific answers we expect from you. After receiving your application, we will review it and get back to you with our thoughts around how you will best achieve your goals, as well as what next steps look like.

 

If you are completing this on behalf of someone else, please involve them when replying to the questions below.

Sex

Your Goals

Please select any of the general goals you have:
(1/4) In the past, I have preferred to...
(2/4) Most people who have already achieved what I am trying to do are…
(3/4) I was working on 2 big nutrition changes last week to achieve my goal. I implemented one change very well, and one I struggled with. I am likely to feel...
(4/4) A week goes by and I feel like I have NOT made a strong effort toward the nutrition changes necessary to achieve my goal. I am most likely to...

Your Nutrition

Rate your current nutrition on a scale of 1 to 5...
(1/3) True/False: I believe there is a straightforward definition of healthy eating that everyone should follow.
(2/3) In the past, making changes to what I eat has been...
(3/3) If I do NOT see strong progress toward my goals in the first week of making nutrition changes, I would be...

Your Physical Activity

Are you currently physically active?
How would you classify most of your physical activity?
How much do you enjoy physical activity?

Relevant Medical History

Final Questions

Do you prefer a specific experience with us?

Thank you! We look forward to getting to know you!