Nicole Duffy

NASM CPT, CNC

First & Last Name

Phone

How did you hear about Nikki-Fit?

Where are you located(country, city, and state)?

What is your current occupation?

How many hours a week do you work?

What is your Age, Weight, and Height?

What is your current fitness regimen?

What are your current nutrition habits?

Describe your fitness, nutrition, and mental health goals in as much detail as possible

Describe in detail what is keeping you from achieving your goals? What are programs you've tried in the past but haven't worked?

What exercise equipment do you have access to?

On a scale of 1-10 how committed are you in reaching your goals?

Have you ever worked with a personal trainer before? If so, what was your routine?

What kind of coaching services are you interested in using to achieve your goals?

Custom Online Training

Nutrition Coaching

Habit Based Coaching

All Three