Quick Coaching Interest Form — Omar G. Flores, M.S.

Section 1

About You

Full Name

Age

If you are under 18, or if you are submitting for a teen athlete, parent or guardian involvement is required throughout the coaching process.

Are you filling this out for yourself or someone else?

For myself For my child or teen athlete Other

For teen and minor athletes, coaching is education-focused and parent/guardian involvement is required throughout. The focus is fueling, performance, recovery, hydration, and a healthy relationship with food — not restrictive dieting. Please fill out the rest of this form with your child's information in mind.

Email Address

Instagram Handle (optional — for DMs)

WhatsApp Number (optional) If you prefer WhatsApp communication for coaching check-ins, voice messages, and photos.

WhatsApp and Instagram DM are the preferred ways to communicate. WhatsApp makes it easy to share food photos, progress updates, voice messages, and quick questions between check-ins. Email is available as a backup. If you don't use WhatsApp yet, it's free to download.

Preferred communication method

Preferred format for our intro call

How did you hear about me?

Section 2

Your Goals

Which coaching pathway sounds closest to what you need?

Body Composition — fat loss, muscle gain, macros, recomposition Sports Nutrition — performance, fueling, athlete support Metabolic Health — blood sugar, hormones, PCOS, gut, long-term dieting Physique & Competition Prep — improvement season, prep, post-show Not sure yet — I'd like help figuring that out on the call

What is your main goal over the next 3–6 months? Briefly describe what you're hoping to improve or achieve.

What has been your biggest challenge so far? This is one of the most important questions — it helps me understand what you actually need going into the call.

Do you currently track calories, macros, or food intake?

Section 3

Health Background

Do you have any current health conditions, diagnoses, symptoms, injuries, or concerns I should know about before our call? Examples: Type 2 diabetes, prediabetes, PCOS, high blood pressure, elevated cholesterol, thyroid concerns, gut symptoms, chronic fatigue, previous injuries, etc.

Yes — I'll describe below No known conditions Not sure / still being evaluated

Please describe briefly:

Are you currently taking any prescription medications? A yes or no is fine for now — we'll go over specifics during onboarding.

Yes No

For female clients, if applicable: are you currently experiencing any menstrual cycle changes, irregular cycles, or loss of period? Skip if this does not apply to you.

Yes — I'll describe below No / not applicable

Please describe briefly:

Section 4

Lifestyle Snapshot

How would you describe your current activity level?

Do you currently exercise, play a sport, or compete?

How is your sleep overall?

Have you worked with a nutrition coach, dietitian, trainer, or followed a structured program before?

Yes No — this would be my first time Kind of / briefly

Briefly, what worked or didn't?

Section 5

Readiness

When are you hoping to start?

Is there anything else you'd like me to know before our call? (optional) Your schedule, specific concerns, questions you want to cover, or anything that didn't fit the questions above.

After submitting, you'll get a link to book your free 20-minute intro call.
I'll review your answers before we talk — no homework needed on your end.

✅

Form received — thank you!

I'll review your answers before our call so we can make the most of our time together. Go ahead and pick a time that works for you — the intro call is free and takes about 20 minutes. We can connect via WhatsApp call or Zoom, whichever you prefer.

Book Your Free Intro Call →