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Let’s Get to Know You!

Thank you for your interest in working with Team Mel Coaching. This application is designed to help us understand your goals, lifestyle, and challenges so we can determine how to best support you. The more detail you provide, the better we can assess how we can help you achieve real, lasting results.

Once you’ve submitted your application, a member of our team will review it and be in touch shortly to discuss next steps. We’re excited to connect with you!

Section 1: Current Status & Goals

Today's Date

Year

Month

Day

First name

Last name

Birthday

Year

Month

Day

Email

Phone

What city/province do you live in?

What is your gender?

What are your preferred pronouns?

What is your current height (feet/inches)?

What is your current weight (in lbs)?

What is your current waist measurement (in inches)?

Do you have a preferred coach you'd like to work with?

Mel Cech, IFBB Pro, CPT

Natasha Holmes, CPT

Jamie Iannucci, CPT

No preference

On a scale of 1–10, how motivated do you feel right now to make changes?

What timeline are you hoping to achieve your goals within?

Please upload current photos in bikini/shorts or similar. All photo uploads are completely confidential and will never be shared.

Section 2: Training & Physical Activity

What is your current workout routine (if any)?

Do you have access to a gym, home equipment, or just bodyweight? Please describe.

What exercises or movements do you love doing, if any?

What exercises or movements do you avoid or struggle with?

Have you ever worked with a coach or followed a structured program before?

How confident do you feel designing your own workouts?

Section 3: Nutrition & Eating Habits

Describe a typical day of eating for you (include meal timing, types of foods, etc.)

If you are currently macro tracking, what are your daily macro and calorie goals?

What are your biggest struggles with nutrition?

Are there any foods you avoid due to allergies, intolerance, or personal preference?

Do you take any supplements or vitamins currently?

How much water do you drink on average per day?

Section 4: Hormones, Sleep & Stress

This applies to both male and female, please read through carefully and answer the best that you can regarding your hormones regardless of your gender.

Have you ever been pregnant before?

Have you ever had hormone testing done? If so, when and what did it show?

Do you suspect any hormone imbalances? Please describe if so.

Are you currently taking birth control, HRT, thyroid meds, or any other related hormonal medication?

Please upload your most recent bloodwork lab results if you have access to them. All uploads are completely confidential to your coach.

How many hours of sleep do you get per night, and is it restful?

On a scale of 1-10, how would you rate your current stress levels?

How do you manage stress, if at all?

Section 5: Medical & Surgical History

Any diagnosed medical conditions?

Have you ever had any major injuries or surgeries (including cosmetic such as breast augmentation or explants)?

Next Steps & Interest in Coaching Services

Which services are you interested in learning more about?

If yes, is there anything specific you'd like to know more about or have questions about?

Thank you for filling out our online consultation. Your preferred trainer will be in touch with you in the next 24-48 hours.

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