New Client Application Form | Free the Mind Fitness and Nutrition, LLC

How committed are you to achieving your goals? (1 being hesitant and 5 being all out 100% ready)

Are you willing to make changes to your routines and habits to achieve your goals?

Yes

No

I'm not sure

Are you the financial decision maker or will you need to consult with someone else before starting?

Yes

No, will need to talk to someone (i.e. spouse or parents, advisor, and so on..)

What are you looking for?

1:1 fitness and nutrition coaching

1:1 fitness coaching

1:1 nutrition coaching

No coaching- I just want a custom fitness plan

No coaching- I just want a custom nutrition plan

How long are you willing to commit to your goals?

How soon do you plan on getting started? Please only select one option