Let’s Get You Stronger, Fitter, and More Confident

This application helps me understand your goals, challenges, and if we’re a good fit to work together. There’s no pressure — just honest info so I can give you the best support possible.

Please fill out all questions honestly — it takes 2–3 minutes. I’ll personally review it and get back to you within 24–48 hours.

First name*

Last name*

Email*

Phone

Birthday

Year

Month

Day

Address

What are your top 1–2 fitness goals right now? (E.g., lose weight, build strength, get consistent, feel more energized)*

What’s currently getting in the way of reaching your goals? (Lack of time, motivation, past injuries, confusion, etc.)*

On a scale of 1–10, how committed are you to making a change? (1 = Not ready, 10 = All in)*

What have you tried in the past that didn’t work?*

Why do you want to work with me specifically?*

Are you looking for:*

Private coaching

Semi-private training

Online programming

Conditioning class

Not sure yet

How soon are you looking to start?*

Right away

Within 1–2 weeks

Just exploring options

Are you ready to invest in coaching if it’s a good fit?*

Are you ready to invest in coaching if it’s a good fit?

I might need to think about it

No, I’m not in a position to invest right now

Thanks for applying! Once submitted, I’ll personally review your application and follow up to book a quick call so we can chat and make a plan.

778-836-5552

kylelane.athletes@gmail.com

555 W 8th Ave #100, Vancouver, BC V5Z 1C6

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