APPLY FOR ONLINE COACHING

Name

First Name

Last Name

Phone

(###)

###

####

Are you ready to commit to sending me daily updates 3-5 times a day for at least 30 days?

How would you describe your current relationship with food? (Consider emotional eating, stress eating, social eating patterns)

Are there any potential obstacles in your home or work environment that might make it challenging to reach your goals?

What is your desired timeline for achieving your fat loss goals?

What is your current level of fitness?

Starting over again after a long break. I'm a complete beginner

I currently lift weights 2-3x per week and know a little about macronutrients and nutrition.

I've successfully lost weight in the past but gained the weight back

Is there anything else you wanted me to know?

Disclaimer- The Durant Method Coaches are not qualified to treat or coach on current or non-treated eating disorders or other undiagnosed disorders that should seek a physician's review. Once cleared by a licensed professional The Durant Method would love to provide you with coaching services. Do you understand and agree that you are of sound body and mind to continue coaching with The Durant Method, and do not have any current diagnosed/undiagnosed disorders?

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