New Client Application

Let's see if we're a
perfect fit.

Take 3–5 minutes to fill this out. Your answers help me understand where you're at so our discovery call is focused and valuable from minute one.

NASM Certified Nutrition Coach  ·  Fuel with Jess
Takes about 3–5 minutes

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Question 1

First, tell me a little about yourself.

Name and contact info so I can follow up after reviewing your application.

Question 2

What is your primary goal right now?

Select all that apply — be honest, even if it's more than one.

Question 3

What's your biggest struggle when it comes to nutrition right now?

Don't overthink it — what's the one thing that keeps getting in your way?

Question 4

Do you have a specific timeline or event you're working toward?

Wedding, competition, vacation, doctor's appointment — or just ready to start now.

Question 5

How ready are you to invest time and energy into this right now?

Be real — 1 means life is chaotic and this isn't top priority, 5 means you're all in and ready to go.

1 — Not quite ready5 — 100% committed

Anything else?

Is there anything else you'd like me to know before our call?

Optional — but this is your chance to share anything that feels important.

Application received!

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