Online coaching application questionnaire
Hey there!! I'm sooo excited you decided to take a leap and get healthy and strong for YOU! As cliche as it is, your health is your wealth and I'm here to help you get to the healthiest, strongest and the BEST version of yourself. All I ask is that you fill out this questionnaire as honestly as you can and have an open mind. After you've filled out the form I'll be in contact with you to discuss your fitness goals in depth and see if we'd be a good match. Can't wait to talk to you more in depth! x your coach Jenna
What is your name?
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First Name
Last Name
What is your age?
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What is your email address?
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example@example.com
What is your Instagram handle?
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What are your current goals? Check all that apply:
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Fat loss
Build muscle
Better relationship with food
Improve overall health
I'm not sure
Tell me about the most important goal you'd like to accomplish in the next 3-6 months: What do you want to change about your health, mindset, body and/or your lifestyle?
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Why do you think you haven't been successful in the past in reaching these goals?
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Give me a layout of your current diet + workout routine:
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If you were able to reach these goals in the next 3-6 months how would that make you feel? How would your life and happiness be different?
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Coaching is an investment into your body, health and yourself - are you ready to make that financial investment?
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Yes absolutely! I'll invest if it gets me results.
A little hesitant, but I'm open to the idea if it solves this problem
I don't want to invest in my health, I'd rather stay stuck where I am
Ready to submit? Let's go!
Should be Empty: