Application - Nu Movement Coaching

online nutrition & fitness coaching application

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- Step 1 of 11

What is your primary health and fitness goal? *

E.g., Lose weight, gain muscle, improve athletic performance, increase energy, etc.

Have you struggled to reach this goal in the past? If so, why do you think that is? *

What does success look like for you 6 months from now? *

How would you describe your weekly exercise activity? *

Very Light (almost no purposeful exercise)
Light (1-3 hours of gentle to moderate exercise per week)Light (1-3 hours of gentle to moderate exercise per week)
Moderate (3-4 hours of moderate exercise per week)
Intense (4-6 hours of strenuous exercise per week)Intense (4-6 hours of strenuous exercise per week)
Very Intense (7+ hours of strenuous exercise perk week)

How would you describe your weekly non-exercise activity? (Daily life) *

Very Light (mostly sedentary, e.g. desk job)
Light (you move around some, e.g. teacher)
Moderate (continuous gentle to moderate activity, e.g. restaurant server)
Heavy (strenuous activity throughout the day, e.g. construction worker)

What do you feel is your biggest challenge to reaching your health and fitness goals? *

Are you willing to invest financial resources to achieve your goals? *

Yes, I'm willing to invest in the right program.
No, not at this time.

Are you open to making small, sustainable changes to your routine and habits to create big results over time? *

Yes!
No, not at this time.

What is motivating you to apply for coaching right now? *

On a scale from 1-10, how serious are you about improving your health and fitness? *

1 = Not serious at all; 10 = The most serious I've ever been.

Name *

First

Last

Your Sex *

Female
Male

Primary Email *

Phone *

How did you hear about my coaching?

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