Needs Assessment Program: TMC Performance Coaching

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Full name
First Name
Last Name
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Where do you live?Just type your area below...
Just your Town or Suburb or the one you live closest to
Street Address Line 2
City
State / Province
Postal / Zip Code
Please Select
Please Select
Afghanistan
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Other
Country
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Phone NumberJot down your number below..
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Where did you hear about us?
Please Select
Please Select
Social Media
Google Search
Friend/Family
Recommended By Someone Else
Walked Past
Print Advert
Event
Other
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Have you even got personalized programming before?
YESNO
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Have you even got 1-2-1 Coaching before?
YESNO
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How good would you say your diet is?Nutrition is one of the cornerstones of health...
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4
5
Very poor!
Amazing
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How would you rate your rest/sleep?
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2
3
4
5
Inconsistent and 3-6 hour range
Consistent and 8+
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How stressful is your job/lifestyle?
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2
3
4
5
I am stressed!
I am chilled to the max!
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Out of 5 - how good do you feel now?1 bad - 5 great
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2
3
4
5
Super unfit!
I am fitness :)
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How important is it for you to create change?
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3
4
5
Kind of..
Completely...
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What experience do you have in Performance Coaching?Our Performance Coaching covers the Physical, Mental & Wellness support to better Performance in Sport & Life
None
Some
I don't really understand what it is, want to know more
I have just relied on physical training and talent to now
I know that specific 1-2-1 Coaching will bring me to the next level
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What motivated you to contact us today?
I'm fed up of not taking action
I want to try something new
You've been highly recommended
I need a push into action
I don't know how to do this alone...
Other
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How long have you been thinking about getting some more specific 1-2-1 Coaching and help?
Less than 1 Month
1-3 Months
3-6 Months
6-12 Months
1-3 Years
3 Years+
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What has stopped you from taking action?
Motivation
Time
Busy Lifestyle
Money
Procrastination
Me!
Other
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Is this issue resolved or almost resolved?We presume so, seeing as you are here today!
YESNO
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What target goals of the below would you like to achieve most? (Pick 1-3)
General Sports Fitness
Improved Mindset
Weight Loss
Strength & Power Gains
Improved Mental Health
Skill Increase
Speed Increase
Habit Creation
Lifestyle Adjustment
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Outline your main goal, your main reason for being here?I want to..... Why... What is your Why?
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How important is your goal?Having a clear goal is important to success...
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2
3
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5
Not at all
Extremely
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Do you have a timeline to achieve your goal?If not is it more of a lifestyle change maybe?
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What is most important for you? (Top two)
Specific Training/Coaching
Caring coaches
Intense training
Competitive elements
Support and Accountability
Motivational Support
Performing well at my sport
Guidance and learning
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We have everything that you need?
YESNO
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If you live in the Ballincollig/Cork City area and want face-to-face Coaching please say yes here?We'd love to see you at our private facility in Ballincollig if that suits you better.
YESNO
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Image FieldWhat can your future look like?
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Image Field
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Pick Your MembershipWhat suits you and your needs best
FIELDFIT
ACCELERATED ATHLETICISM
PERFORMANCE PRO
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Great, so let's get that membership started!
YESNO
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Which Friend or Family Member Comes to Mind?Grab thier name and number and secure their VIP card today!
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