Welcome to the BFITT & Her Village Coaching Application!

We're excited to learn more about you and support your journey to health, wellness, and personal growth. Please fill out this form to help us tailor our coaching to your needs.

I understand I must answer all questions with an asterisk (*) in order for my form to be submitted. *

Yes

Personal Information

Full Name *

Phone (will be used to notify you of the status of your application) *

Email *

Age *

Health | Wellness | Personal Development Goals

How do you currently EVALUATE stress and self-care? *

How do you currently MANAGE stress and self-care? *

What challenges do you face in balancing your ambitions with your responsibilities? *

What underlying beliefs or past experiences might be limiting your confidence and ability to pursue your fitness, wellness, & life success goals? *

How do you perceive your self-worth in relation to your body and health? *

What fears or doubts surface when you think about committing to a consistent health and fitness routine? *

Fitness History

How would you describe your current fitness level? *

Newbie

I know some things!

Exercise has been a mantra in my life

How often do you exercise per week? *

Do you currently sync your mentstrual cycle with your movement exercises? *

Yes

Sometimes

Nutrition & Lifestyle

How would you describe your current eating habits? *

Balanced (mostly fruits/veggies/whole grains/ some fish/chicken)

Imbalanced – High in Sugar & Refined Carbs (lots of sweets, white bread, pasta, and sugary drinks, with minimal protein or veggies)

Flexible & Intuitive (no strict diet, eating based on hunger and cravings, with a mix of healthy and indulgent foods)

Do you have any dietary restrictions or preferences? *

How many hours of sleep do you get per night? *

Health History

Do you have any chronic health conditions or injuries? *

Yes

If yes to above, please specify:

Are you currently taking any medications or supplements? *

Yes

If yes to above, please specify:

Do you experience menstrual irregularities (e.g., PCOS, PMS, perimenopause, Heavy Bleeding, etc.)? *

Yes

If yes to above, please specify:

What was the first day of your last menstrual cycle? *

Additional Information

What motivates you to do your best in life? *

How would you describe your ideal self? *

How can we best support you in achieving your goals? *

Why do you want to work with a Fit-Well professional like Britt now & not later? *

What do you know about Britt/ Britt's coaching style? *

If Britt can help you solve your problems, would you like to invest in full (12 months) or in monthly payments to achieve your goals? *

In Full

Monthly Payment

What's your biggest problem you need solved right now? *

Have you previously worked with a fitness or wellness coaching professional? *

Yes

If you answered "yes" above, please share your experience with us.

Anything else you'd like us to know? *

Release of Liability/ Assumption of Risk Agreement: By completing this form and continuing with any BFITT related fitness program, you understand and voluntarily accept the risk and agree that BFITT Athletic Training & its affiliates will not be liable for any injury, including, but not limited to; personal, bodily, or mental injury, economic loss or any damage to client resulting from negligence of BFITT Athletic Training or its affiliates. You agree to indemnify, defend and hold BFITT Athletic Training and its affiliates harmless against any liability, damages, defense costs, including attorney fees, or from any other costs incurred in connection with claims for bodily injury, wrongful death or property damage brought on by client negligence. Client also represent that they are in good physical condition and have no medical reason or impairment that might prevent them from their personal training sessions. If you have health concerns, you should always discuss them with a physician prior to starting and fitness training or nutrition program.

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STEP 2: Please answer the application questions below for your appointment request to be considered. Approximate time to complete - 10 minutes