PR Coaching Application Form

Make Every Day A PR.

My coaching is personalized, so please be as detailed as possible in your responses. After you fill out this form, you'll be prompted to schedule your free consultation call 💪

First Name *

Last Name *

Phone *

Email *

Instagram Handle *

What is your current age, height, and weight?

Which of the following best describes your current goals/challenges? (select all that apply) *

I want to lose fat (lose weight)

I want to build muscle (gain weight)

Improve Performance (strength, endurance, etc.)

I want to improve my overall health, increase energy, etc.

Which best describes your nutrition for the last 30 days? *

What is it you are looking to gain from having a coach?

What is the biggest hurdle you’ve been trying to overcome with your fitness?

If Alex has a wait list, are you open to working with another PR coach who utilizes his same proven approaches and philosophies?

If there is a wait list, I'd like to join it and receive updates when spots become available.

I'd love to see if there is someone able to help me reach my goals and get the support I need ASAP.

What is your commitment level to your personal results?

1. I’m extremely committed. I’m sick of my own bullshit, and I will do whatever it takes.

2. I’m committed enough to invest in my goals but I’m afraid of “missing out” on social events.

3. I know I need help to make a change but I’m not sure if I’m ready to fully commit.

Anything else you'd like to add before booking? *