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My coaching is personalized, so be as detailed as possible in your responses.

First Name *

Last Name *

Instagram Handle *

Phone *

Email *

Which of the following best describes your current goals/challenges? (select all that apply) *

I want to lose fat (lose weight)

I want to build muscle (gain weight)

Improve Performance (strength, endurance, etc.)

I want to improve my overall health, increase energy, etc.

Which best describes your nutrition for the last 30 days? *

Have you been diagnosed with an eating disorder? *

What is it you are looking to gain from having a coach? *

What is the biggest hurdle you’ve been trying to overcome with your fitness? *

What is your commitment level to your personal results? *

1. I’m extremely committed. I’m sick of my own bullshit, and I will do whatever it takes.

2. I’m committed enough to invest in my goals but I’m afraid of “missing out” on social events.

3. I know I need help to make a change but I’m not sure if I’m ready to fully commit.

Anything else you'd like to add before booking? *

Brian A

"I highly recommend working with Jacqueline for physical fitness and weight loss. She will teach you maintainable food and fitness SKILLS instead of just diets.

When I started, I was 188 lbs. and while I was physically active my diet was not the best. I would struggle with too many carbs, overeating on the weekends and occasionally too many drinks. Using other weight loss systems I might lose a few pounds, but I would always plateau around 180lbs. Working with Jacqueline helped me balance my diet, while still allowing for some food I enjoy. I pushed well passed my plateau and I’m down to 168 lbs. in just 5 months!..."

Pavana

"I trained with Jacqueline for more than a year. She is amazing. She improved my form & held me accountable. I went from a couch potato to the fittest I have ever been in my life. Being a vegetarian, getting in protein is my biggest struggle. She helped me understand that nutrition is the key & gave me ideas on how to get more protein in my diet. Am very thankful for all the guidance she has provided. These are some of the things I will carry with me foe the rest of my life. Jacqueline is the best."