Please fill out the following questionnaire and I will contact you within 24 hours. Jess’ fitness questionnaire * indicates required Email Address * First Name * Last Name * Birthday * / ( mm / dd ) Age Why are you interested in coaching? * Do you have any medical issues? Other comments/notes? Fitness history Have you been trained before? Do you have access to a gym? Does it have barbells/dumbbells? Dietary information Does your body not reflect your diet efforts? Are you vegetarian? Are you vegan?