Reed ELITE Client Application
Fill out the form carefully for consideration.
Thank you for your interest in my customized training services. Before you begin your application please consider your level of seriousness. In order to maintain high standards and provide you with an ELITE level of service I only take serious and committed clientele. Hiring a specialist is not cheap and you will be asked to invest $297-$1997 per month into yourself depending on the package you choose—paid in full options may be available for discount. In addition to this a 6-12 month commitment will be required to start training—as results may take time. As an exercise professional I also need to put you through a thorough health screening before we can begin. My ELITE coaching will appropriately guide you through a custom-fit exercise process, dietary strategies, and stress management tactics in order to help you overcome your current challenges should we be qualified to work together. If you are ready to radically improve in the next 6-12 months and build more ENERGY, POWER, and PRODUCTION into your life please continue and I look forward to meeting you.
Better Function • Better Life
Client Name
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First Name
Middle Name
Last Name
Client E-mail
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example@example.com
Phone Number
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Client Gender
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Please Select
Male
Female
Client Age:
*
What Is Your Profession?
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What Best Describes Your Goal?
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Please Select
General Health
Pain Relief / Injury Management
Weight Loss
Gain Strength / Muscle
Other Health Considerations
Other Health Considerations?
What Services Interest You?
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Please Select
Online Coaching
In-Person Coaching
Are You Open To Exclusively Online Coaching?
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Please Select
Yes
No
Maybe-I need to learn more
What Is Your Availability For Training?
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For In-Person—Weekly Session(s) with Me?
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Please Select
3+ weekly sessions
2 weekly sessions
1 weekly session
Please Rate Your Current Desire To Reach Your Goals:
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No desire
1
2
3
4
ALL IN
5
1 is No desire, 5 is ALL IN
Do You Currently Follow A Diet?
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Yes
No
Do You Currently Exercise?
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Yes
No
Please Rate Your Exercise Experience Level?
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Beginner
Intermediate
Advanced
Injuries and limitations? Be specific.
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Past Surgeries? Be specific.
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Please Give Brief Description of Your Current Goals?
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What Are You Looking For In A Coach? Be Specific.
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Due To Limited Time Slots. Please Explain Why You Would Be A Good Candidate For My Training?
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Submit
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