CONTACT me.

apply for COACHING.

If you are interested in any of my services, I would love to hear from you. I have limited availability and always look to ensure that I am the right match for each of my clients. Please fill out the form below, and include as much detail as possible.

Inquiries will be responded to within 48 hours via e-mail or phone call.

Name

First Name

Last Name

Which Service Suits You Best?

Why Are You Looking to Be Coached?

Your "why" is important to me. Have you worked with a coach before? What was your experience? Please include as much detail as possible.

Please List Three Positive Attributes About Yourself

This may sound cheesy, but I encourage our clients to be kind to themselves along their fitness journey.

Goals

I would love to know what you're looking to gain out of your training - what are your goals? What has gotten in the way of you achieving them up to now? Please be as detailed as possible.

How Would You Describe Your Relationship with Food?

Exercise History

Please outline in detail your experience and history in fitness - where you started and where you're currently at. Do you have experience with lifting weights?

Health History

Please include any health implications that might impact your ability to train.

Injury History

Please include a detailed history of your injuries, no matter how minor or dated they may seem, and what (if anything) you did to help rehabilitate post injury.

I'm Above 18 Years of Age

Yes

I'm Cleared for Exercise by a Physician

Yes

How Much Are You Willing To Invest Into Coaching?

Our services are not free, so we want to make sure we are affordable to you before you begin.

What About Our Content or Philosophy Resonates with You?

How Did You Hear About Me?

This isn't required, but will be helpful to me.

Message

Please include any additional details or questions you may have.

CONTACT me.

apply for COACHING.

If you are interested in any of my services, I would love to hear from you. I have limited availability and always look to ensure that I am the right match for each of my clients. Please fill out the form below, and include as much detail as possible.

Inquiries will be responded to within 48 hours via e-mail or phone call.

FIVE Elements Coaching Inc.