Creative Brief

Please use this form to ask questions, get a free consultation, or kickstart your Wellness Journey!

Ask Questions

Get Free Consultation

Consultation?

If you would like a free no-obligation consultation about how I can help you reach your goals how would you like to talk?

Please enter your phone number if you want to talk by phone.

If you want to talk over Google video chat please enter your Gmail address so I can send you an invitation for a 'Google Hangout.'

Optional if you want to talk over Skype or another video chat service.

When would you like to meet? What days and times are best for you?


Project Kickstart

This part is optional for those who just want a free consultation. If you're ready to start your Wellness Project please answer all questions!

Please be specific!

How can I help you reach your goals?

We will track progress towards your goals using your Waist-to-Height ratio, the 21st century gold standard for body composition measurement, replacing the less accurate body weight, BMI, body fat percentage, and waist-to-hip measurements of old. Please measure your abdominal circumference (at the belly-button) in the morning on an empty stomach with a tape measure. Measure at the belly-button. Relax your abdominal muscles and let your belly hang out, don't hold it in! Don't go by clothes/waist size, please actually measure your belly with a tape measure!

For calculating your Waist-to-Height ratio, the gold standard for body composition.

Measure Intervals

How often do you want to measure your progress?

Do you have an upcoming birthday, anniversary, wedding, reunion, or holiday you'd like to use as a medium-term milestone on your way to your longer-term goals?

Your Wellness Project
Discount Options
Discount Combos

Optional - required only if you want the 'Before & After Photos' discount. Must be recent photo, or I can take a picture of you!

Drag and drop files here or
Payment Options

Select your preferred form of payment. If you'd like to pay by credit card I accept all major cards through PayPal, Google Wallet, and Shopify. If you don't have a PayPal or Google Wallet account, you might choose 'Credit Card in person with iPad PayPal card reader' which does not require a PayPal or Google Wallet account: I can charge your card securely on my iPad or iPhone.

On what date would you like to begin training or coaching?


Feedback

Do you have any questions, suggestions, or comments?