Free Nutrition Audit

Please complete the form below. Your responses will be sent directly to Coach Tim to help him better understand your goals and the challenges you're facing. Once your information is received, Coach Tim will follow up within 48 hours to review your application.

Briefly describe your health and fitness goals (e.g., lose X pounds, boost energy, prepare for an event, improve sports performance) *

What would your life look like when you achieved your goals? *

What do you feel is missing from your current nutrition or health plan that’s preventing you from reaching your goal? *

How will your life change when you reach the goal you’ve been chasing? *

First Name *

Last Name *

Date of birth *

Sex *

Email *

Phone *

City *

State *

Current Weight (lbs) *

Anything else I should know?

How did you hear about my coaching? (friend, social media etc.)

By checking this box, I consent to receive transactional messages related to my account, orders, or services I have requested. These messages may include appointment reminders, order confirmations, and account notifications among others. Message frequency may vary. Message & Data rates may apply.Reply HELP for help or STOP to opt-out.

By checking this box, I consent to receive marketing and promotional messages, including special offers, discounts, new product updates among others. Message frequency may vary. Message & Data rates may apply. Reply HELP for help or STOP to opt-out.

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