Online Coaching

Full Name *
Email *
Phone Number *
What is your profession or business? *
How many hours per week do you work? *
What identity do you currently view yourself as in relation to how you feel about your body, health and fitness? *
What do you need help with right now? *
What is your biggest challenge right now? *
How experienced do you consider yourself? *
Do you have 3 hours per week to implement my training and diet systems? * Yes No
Can you cook? Or be willing to hire a food prep delivery service (if needs be)? * Yes No
Have you invested in your in your health and fitness before? (give details) *
Are you willing to invest in your health/fitness/training right now? * Yes No
Why do you think you will make a good client? *
Why do you think Kirk will be the right coach for you? *