Apply for Coaching - Up and Adam Coaching

Picking up what I'm putting down?

*read as: liking what you see?

I’d love to hear from you. I’ve got a variety of programs for busy individuals and all levels of experience, from complete beginners to “Jackie Chan” level health ninjas. Tell me what you’re looking for, and I’ll guide you to the right program for YOU.

Submit your application below!

first name

Age

Gender

Phone

Height

Weight

Which programs are you interested in (select all that apply)?

monthlyME Online nutrition coaching In-person HYBRID - Private (local residents only) In-person HYBRID - Small Group (local residents only)

If you could only eat one food for the rest of your life, what would it be?

Favorite band of all time?

Who's your favorite superhero?

ANY INJURIES, HEALTH PROBLEMS, OR blackout bruises I SHOULD KNOW ABOUT?

How would you rate your current level of fitness (1-10)?

What is your commitment to exercise and training (that you're 10/10 confident you can follow through with)?

Any nutrition restrictions or preferred eating styles such as vegetarian or vegan?

Have you ever had a nutrition coach before? If yes, please explain your experience.

How can I help you become more awesome?

On a scale from 1 to 10, how committed are you to achieving your health goals?

How much are you willing to invest in yourself and in your health & fitness monthly?

Is there anybody else who may be involved in either your decision to hire a coach or in your desire to stick with a health program?

What's your favorite motivational quote?