WORK WITH ME | The Weightloss Scoop

COACHING APPLICATION

let's do this!

I'm super excited about the possibility of working together. Below are some questions for you to answer so I can see if we will be a good fit. After you watch the video and complete the application below, I'll be in touch shortly through Instagram Direct Messenger (DM) or Facebook Messenger.

Fear shows you the edge of your comfort zone, push past it

to grow!

First Name

Last Name

Best Email Address

What is your Instagram handle? (e.g. @theweightlossscoop) Or if not applicable, Facebook name. This is where I will be reaching out to you.

Check which program you’re interested in

The Sustainable Scoop Method Program (SSM) - for fat loss

The Sustainable Body Sculpt Program - for muscle growth and sculpting

What prompted you to reach out to me for help?

What are your biggest challenges or obstacles with your nutrition?

Do you have a history of significantly under-eating or restricting calories?

Yes

No

I'm not sure

Please share any medical conditions that you may have that feel relevant to your weight loss journey. Type “N/A”, if none.

At this time, are you currently using MyFitnessPal or any other app to log your food?

Yes

No

Other

If no, are you open to learning how to do this?

Yes

No

Maybe

Do you do well with high accountability?

Yes

No

Depends

On a scale of 1 to 10, how committed are you to your personal nutrition goals?

Are you looking for an overly structured/very strict meal plan, or does something a little bit more flexible sound appealing to you?

Yes, flexible sounds appealing

No, I'm looking for a meal plan

Unsure what I'm looking for and open to discussion

At this time, are you willing to make a premium investment in your nutrition goals and a coaching program?

Yes

No

Maybe

Is there anyone else involved in the decision making process that needs to be included?

Yes

No

Other

If I’m able to give you an exact roadmap to success during our chat through social media, are you willing to give me a yes or no at the end?

Yes

No

Other

If anyone referred you to the program, please write their first and last name.

the scoop

FROM MORE RAVING CLIENTS

Progress Photos for Amie Porras Nutrition, LLC | Registered Dietitian of The Weightloss Scoop

Testimonial for Amie Porras Nutrition, LLC | Registered Dietitian of The Weightloss Scoop

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