One-on-One Coaching Application

All one-on-one coaching with Coach Tim Adams is by application only.

Complete the following questions as best you can.

Please read each question carefully prior to answering them because once you start typing in the Text Box the question disappears.

NOTE - Every question must be answered in order to be considered!

The thoughtfulness and thoroughness of your answers will determine whether or not you will be considered for coaching.

What happens next?

If you are considered you will be sent an email to schedule a follow-up phone interview.

If you have any questions please send an email to [email protected]

How would you rate your PHYSICAL health?

Horrible

Surviving

Average

Good

Thriving

How would you rate your MENTAL health?

Horrible

Surviving

Average

Good

Thriving

How would you rate your EMOTIONAL health?

Horrible

Surviving

Average

Good

Thriving

Do you experience any of the following symptoms? Choose your number one Symptom:

Wake up tired

Can not fall asleep

Wake up in the middle of the night

Bloated, Gassy

Tired after eat

Body Aches, Tightness, Stiffness

Pain

Brain Fog

Mood Swings, Anxiety

Rashes, Acne, other skin disorders

Low Energy

Stress

Crave Sweets

Crave Salty

Urinate less than 6 times per day

What areas would you like to Improve (Check The Most Important One):

Increase Energy

Reduce Stress

Improve Productivity

Improve Sleep

Nutrition

Supplementation

Fat Loss

Build Muscle

Improve Focus and Concentration

Improve Brain Function

Eliminate Pain

Improve Movement and Function

Improve Sexual Performance

Create a Optimal Performance Routine (Flow/Zone)

Create a Daily Routine

Other (Put in the Additional Note section Below)

What is your Gross Monthly Revenue (consistently earn each month)?

$0-10K

$10-25K

$25-50K

$50-75K

$75-100K

$100k+