KimPromoPic2 220x300 Questionnaire

Meet Your Coach, Kimberly!

Congratulations!

You have taken the first step in getting fit and healthy. I am honored to be part of your transformation!

In order to get started,  I’ll need to learn a little more about you. Please complete the coaching questionnaire below.

Someone from my team will contact you shortly to schedule a free 15 minute phone consult.

Your Name (required)

Your Email (required)

Your Phone (required)

Gender

Height

Weight

Age

What do you hope to gain from our coaching relationship?

What are your key fitness goals for the next year?

What do you think you need to accomplish or change to help you reach those goals?

What's the most important thing I should know about you?

What days and times are good for you within the next week? Please supply your THREE best availabilities.