6-Week Sprint Application
First name
Last name
Email
What are you struggling with most right now? Choose any that apply.
Emotional/stress eating
All-or-nothing thinking with food or exercise
Feeling like I’m constantly “starting over”
Trouble staying consistent
Not knowing how much to eat to support my goals
Not knowing what changes would actually make the biggest difference
Feeling like my current approach is too restrictive or unrealistic
Lack of support/accountability
Struggling to make exercise fit into my life
Wanting fat-loss progress but feeling overwhelmed about where to start
Other
What would you most like to accomplish during your 6-Week Sprint? Choose any that apply.
Lose fat / make progress toward my fat-loss goal
Become more consistent with nutrition
Become more consistent with exercise
Build a workout routine that fits my life
Feel stronger
Feel better and more confident in my clothes
Improve my relationship with food
Feel less overwhelmed about how to eat for my goals
Build habits I can realistically maintain
Feel more confident that I can follow through
Other
What have you tried before, and what made it hard to stick with?
When would you ideally like to begin your 6-Week Sprint? Start dates are flexible through November 2nd. We’ll confirm your exact start date together.
As soon as possible
Mid September
Late September
Early October
Mid October
Late October
November 1st or 2nd
I’m flexible / not sure yet
The investment for your 6-Week Sprint is 4 bi-weekly payments of $99. If we decide the Sprint is a good fit, are you comfortable with that investment?
Yes — I’m ready to invest
I’m interested, but I have a question about the investment
No — this investment doesn’t work for me right now
Where have you seen or heard about the 6-Week Sprint? Choose any that apply.
Email
Instagram
Personal Facebook
Nina Baez Coaching Facebook Page
Previous client
Friend/referral
Other
Is there anything health-related that may affect your nutrition or workouts that you’d like me to know? (optional)
Is there anything else you’d like me to know when I review your application? (Optional)
Submit
6-Week Sprints Application