Bob Viscount Nutrition and Fitness

First name*

Last name*

Email*

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Do you have any experience tracking your food (calories, macros, journal, etc...)?*

Yes

No

What app or format did you use? Can you tell me a bit more about your experience?*

Do you have experience with online exercise programs? Meaning someone provides the exercises/workouts and you complete them on your own.*

Yes

No

What app or format did you use? Can you tell me about your experience?*

Please describe your goal(s) in one sentence.*

What is your main barrier or challenge preventing you from achieving this goal?*

Have you ever worked with a nutrition coach or remote trainer?*

Yes

No

What was your experience?

I understand that change takes time. I'm comfortable committing to 6 months (or more) of working with an online coach.*

I'm ready, willing, and able to invest in the cost of this program and commit my time to achieve my goals.*

How did you hear about me?*