To sign up as a client, please fill out the following questions in detail so I can begin making your program. You'll be contacted upon filling out this form by Eric. Please allow 1-2 days for processing. (PayPal & Venmo accepted)
1. Name
Cell Phone & Email Address (separated by comma)
Age, Height (ft'in") & Weight (lbs.)
2. How serious are you about working out and making a lifestyle change?
3. Describe your short-term and long-term fitness goals.
5. Do you have any dietary allergies or requirements?
6. Do you have any injuries to train around?
9. What is your weight lifting experience? (Beginner: 0-1 Years | Intermediate: 1-2 Years | Advanced: 2+ Years). Please describe your current lifting and cardio split.
8. What are your favorite foods? Are there any foods that you prefer NOT to eat?
7. Are you currently taking any supplements, drugs or medication I should be aware of? Please describe.
11. What is your activity level during the day? (desk job, foot work, etc.)
12. What do you find to be the most challenging part of following a diet plan? Are you currently following a diet plan? Please provide details and current calories / macronutrients if possible.
13. Why do you want to do this? It may sound cliche, but tell me the powerful reason why you want to build muscle and be fit. Think about who is supporting you through all of this, what this means to them, what you ultimately want to achieve.
15. Please email a current Front & Back photo (include your name) to [email protected] (100% Confidentiality - Completely Optional)
14. How did you hear about ET Fitness Coaching?
4. Do you have any known health conditions that could limit your ability to exercise?
10. How many days per week can you commit to exercising?
Submit & Proceed to Payment
*By clicking "Submit & Proceed to Payment", you confirm that you have read and understand the  Disclaimer  and that you agree to be bound by those statements.