First & Last Name
* First & Last Name
When is the best time to reach you?
How did you hear about me?
* Birth Date
Height (feet or inches) & Weight (pounds)
Have you been on a diet within the past 6 months? If so, please share some details and how long you were on that plan. If you know your current macros, please share. If not, what's a normal day of eating for you right now and do you incorporate cheat meals? Are you gaining, losing or maintaing your weight eating this way?
Describe your fitness history. How experienced are you in the gym and what's your current training like? Do you take any classes? What types of cardio do you do and how often?
I am not a doctor and anything I recommend does not replace professional medical advise. So if you are not well, please get permission from your MD prior to working with me. Are you currently under a physican's care for mental illness, chronic disease, injuries, heart condition, blood pressure, diabetic, thyroid, hormonal issues? Currently breast feeding or pregnant? Have dealt with an eating disorder? Smoke cigarettes or drink alcohol (if so, how often)? Any other health concerns I should be aware of?
Have you ever worked with another personal trainer or health coach before? What was your experience like.
Health & Fitness Goals
Please tell me what your health and fitness goals are now and why you want my help.
Anything else you would like to add, or discuss?
The service, content and other services and information presented by LaFemmeVegan.com is in no way intended to diagnose, cure, or treat any medical or other health condition. The Service, including any Content, does not constitute medical advice and is not intended to be and should not be used in place of the advice of your physician. Before starting any diet or fitness program through LaFemmeVegan.com, please consult your physician to determine if such program is right for your needs. Do not start a diet or fitness program through LaFemmeVegan.com if your physician or health care provider advises against it. If you experience faintness, dizziness, pain or shortness of breath at any time while exercising you should stop immediately. The transmission and receipt of LaFemmeVegan.com services and any content does not constitute or create a doctor-patient, therapist-patient, or other health care professional relationship between you and LaFemmeVegan.com LaFemmeVegan.com is not responsible and is not liable for any injuries occurred during training in relation to our programs.
By clicking YES below, you agree to the terms and conditions and agree that you have consulted your physician.
Due to the digital nature of the product/services, no refunds will be issued after purchase.
Coaching spaces are limited and prices reflect the value of my time. Therefore, there are no returns. If you choose not to follow through, you lose your investment.
I understand this purchase is non-refundable.