Coached by Jermaine Gause · IFBB Pro

APPLY TO BUILD.

Coaching runs in small cohorts so every client gets real attention. Start with a few quick questions, lock in your 1-on-1 intake call, then complete your full intake before we talk.

Quick
start

Book your
call

Full
intake

Step 01

THE INTAKE APPLICATION

Tell us about your goals, training history, health, and where you're starting from. This is how Jermaine builds your plan — be honest and specific. Takes about 10 minutes.

// About you

Full Name*

Email*

Phone*

Social Media Handles

Date of Birth

Age

Height

Weight

Preferred Program Start Date

How did you learn about PrimeBuilt Fitness?

What program are you interested in?*

Online coaching In-person coachingBay Area residents only Hybrid coaching

// Lifestyle & experience

Does your day job involve movement, standing, lifting, or desk sitting? How experienced are you with fitness and dieting?

What have been your challenges when it comes to healthy, consistent nutrition and exercise?

Describe your current workout regimen.

Do you use any devices to track your diet, exercise, or body measurements? If so, which?

// Health

Do you have any dietary allergies or limitations?

Any past or present injuries, health issues, or movement limitations?

Have you done a blood test to determine your metabolic and hormonal health markers (blood pressure, blood count, liver & kidney function, cholesterol / lipid panel, testosterone, etc.)? If so, are you willing to share it?

Given your lifestyle, how difficult would it be to eat 4–5 meals/day? List any food dislikes.

// Training & goals

How do you currently train? (Times per week, hours per session, sets/reps, and splits)

Long-term health and fitness goals (6 months and beyond):

Short-term health and fitness goals (3–6 months):

How would you define fitness success in the first 4–6 weeks?

Have you worked with a trainer before? If so, what was your experience? What worked? What was challenging to follow?

How are you best motivated?

// Agreement

Disclosure

This program is conducted on a month-to-month basis. If you wish to discontinue the program, please notify Jermaine Gause, and the service will stop at the end of the current 30-day period. If you wish to put your program on hold due to health, family emergency, etc., you have a 60-day period in which you can do so. After 60 days you can no longer put a 60-day hold on your program and are subject to market rate.

NOTE: No refunds will be issued upon cancellation.

Disclaimer

PrimeBuilt Fitness Consulting and Jermaine Gause is not a medical doctor or registered dietitian. The contents of this document should not be taken as medical advice. You should always consult your medical practitioner or qualified health specialist before engaging in any new training or diet regimen. The information contained in these training and nutritional instructions is not intended to diagnose, treat, cure, or prevent any health problem — nor is it intended to replace the advice of a physician. Again, ALWAYS consult your physician or qualified health professional on any matters regarding your health.

All documents included or exchanged between PrimeBuilt Fitness Consulting dba PrimeBuilt Fitness (Jermaine Gause) and the Client are that of PrimeBuilt Fitness Consulting dba PrimeBuilt Fitness (Jermaine Gause) and are therefore proprietary. Communication and any files transmitted are privileged and confidential information and intended only for the use of the individual and entity to whom they are addressed. Any copy, transmission, sale, or redistribution of the aforementioned without the expressed written consent of PrimeBuilt Fitness Consulting (Jermaine Gause) is strictly prohibited by law.

I have read and agree to the Disclosure and Disclaimer above.*

Type your full name to sign*

Date*

Something went wrong submitting your application. Please try again, or email getprimebuilt@gmail.com.

Application received.

Thanks — Jermaine has your intake. Now lock in your 1-on-1 call below so we can map your plan.

Step 02

BOOK YOUR 1-ON-1 INTAKE CALL

Submitting the application above unlocks booking automatically. Lock in a 20-minute call with Jermaine to review your goals and confirm your spot in the next cohort.

I've submitted the intake application Schedule my intake call