Nick Geoppo's Coaching Application

By filling out this form, you are taking the first steps to losing weight and ACTUALLY keeping it off.

This is not a DIET application, it is a LIFESTYLE CHANGE application. You are going to lose weight, feel better in your body, develop a healthy/non-obsessive relationship with food, self belief, and change who you are as a person.

This application is not for people that want to lose weight as fast as possible and gain it back. It’s for the people that have already been there and done that (like me), and are ready to actually make permanent change.

You deserve to live in a healthy body. Change is possible - I did it, and I will coach you through how to do it, too.

If you have 20+ pounds to lose and you’re fed up with being fat the way that I was, fill out the application below. I’ll reach out to you to set up a call to see if it’s a good fit for the both of us.

First Name *

Last Name *

Email *

Phone # or WhatsApp *

Instagram Handle *

How much weight do you want to lose? *

10-19 pounds (4-9 kilos)

20-40 pounds (9-18 kilos)

41-60 pounds (18-27 kilos)

61+ pounds (28+ kilos)

What are your goals? (Select all that apply) *

Fat loss

Feeling better in my body

Increased energy

More confidence

Where do you live? *

United States / Canada

Europe

Australia / New Zealand

Other

Why do you want to lose weight? *

Explain your weight history. How long have you been overweight? *

What have you tried that hasn't worked for you? *

How important on a scale of 1-5 is it for you to lose weight sustainably? *

1: It would be nice, but it isn't a top priority.

2: Somewhat important.

3: Important - I think I would feel better.

4: Very important.

5: It's a top priority. My life would be very different.

What's the thing stopping you from losing weight and keeping it off? *

If you woke up tomorrow and were a healthy bodyweight, how would your life be different? *

Are you now or have you ever received professional treatment for an eating disorder or a similar diagnosis? *

Yes

What do you typically eat in a day? *

What is your occupation? *

If you found a sustainable weight loss method that was exactly what you are looking for, are you in a place in your life where you are able to make a financial & time investment and commit for at least 16 weeks to becoming the best version of yourself? *

Yes, I'm ready to do this!

I need to learn a little more first.

Probably not at this time. Money is tight and I have other priorities.

If you are accepted, how soon would you be looking to start? *

ASAP

Within 1-2 Weeks

A Month or Longer