Coaching Application

★ LIMITED TO 100 COACHING CLIENTS ★

APPLICATION REQUIRED

BACKGROUND CHECK REQUIRED

ADULTS 18+ ONLY

You're applying for our personalized coaching program designed for adults who are serious about becoming stronger, more confident, and better prepared for real life.

This short application takes about 5 minutes to complete and helps us determine if we're the right fit for each other.

Before Your Begin

Please answer each question honestly.

There are no perfect answers. We simply want to understand where you are today so we can determine whether Nomad Mixed Combat HQ is the right coaching environment for you.

We look forward to learning more about you.

Your Basic Info

Full Name

Phone *

Email *

City

State

Your Goals

If you answered 'Other' to the previous question, explain here.

Why Now?

What made you take action today?

Your Current Situation

Which of these best describes where you're at right now?

I want to start but don’t know where to begin.

I've tried on my own but feel stuck and need real guidance.

I know what to do. I just need Accountability and Expert Coaching to stay consistent.

What's been your biggest roadblock so far? (Check all that apply)

Coaching Experience + Commitment

Have you ever worked with a coach or trainer before?

Yes

How motivated are you to becoming the strongest, most confident version of yourself—Starting Now?

This is a results-driven program that requires real commitment. Are you truly ready to invest in yourself and show up?

Yes

If this program feels like the right fit, how soon would you want to get started?

Right away

Within a few days

Still deciding

Training Schedule Preferences

This helps us understand what times might work best for you. Don’t worry — we’ll work together to build a plan that fits your life.

What time frame(s) are you most likely to train? (Check all that apply)

Combat Conditioning (5:00 PM - 5:45 PM)

Mixed Combat (6:00 PM - 7:00 PM)

I'm not sure. I need schedule flexibility.

How many sessions per week do you plan to train?

Less than 1 session per week

1 session per week

2 sessions per week

3 sessions per week

Support System + Readiness

Do you have a spouse or significant other involved in your decision-making?

I’m single and make my own decisions

Yes, and they support me

Yes, but they don’t support this decision

If Yes, can they attend this first meeting with you?

N/A

Yes, I'll bring them.

No, I'll come alone.

Do you make your own financial decisions?

Yes

It's Complicated

Whats a realistic monthly investment you’d consider for reaching your goals and learning real self-defense?

$100/mo

$200-$300/mo

$500-$750/mo

$1000+/mo

Let's Get Personal (Optional but Helpful)

What would need to change in your life or routine for you to call this program a success?

Are you preparing for a specific event or time frame? (Vacation, wedding, upcoming trip, recent life change?)

Are you currently dealing with any injuries, physical limitations, or past issues we should know about? This helps us keep you safe and build a plan to work around (or overcome) anything holding you back.

Is there anything personal you’re currently working through that we should be aware of or support you with? (e.g. recently attacked, recent trauma, PTSD, past/current abuse)