1:1 Coaching Questionnaire

1

What's your name?* This field is required.

First Name

Last Name

2

What's your email?* This field is required.

example@example.com

3

How old are you?

4

What's your Instagram Handle?

5

What's your phone number?

Area Code

Phone Number

6

What's the #1 GOAL you would like to accomplish in the next 12 weeks? What do you want to change about your body, mind, and lifestyle? What travel habits/ travel goals do you want to accomplish?

7

How often do you travel?Before COVID-19

Rarely

A few times a year

A few times a month

Weekly

8

What's are three things holding you back from reaching your desired goals?

9

What best describes your current level of commitment to improving your health, wellness and achieving your travel goals?In regards to your travel goals, this applies to once travel is available again

Not ready, not motivated

Somewhat ready, somewhat motivated

I'm not entirely sure

Fairly ready, fairly motivated

Definitely ready! Let's to do this!

10

Give me a layout of your current diet, workout and travel situation. Do you have a specific diet or workout regime? Are you able to travel with those specific plans or does diet and exercise get in the way of your travel dreams? Tell me honestly wherever you're at.

11

Have you previously worked with an online health trainer, coach, or group coaching program before? If so, explain your past experience.

12

Which answer best fits your situation to invest in your wellness and travel lifestyle?

I'm on a tight budget with less than 100 to work with

Sign me up for a payment plan

I'm super resourceful and will come up with the money

I'M ALL IN AND BEYOND READY!

13

Pick any day in the next 72 hours to have a quick 15 minute discovery call to gain clarity and talk about how to reach your goals. * This field is required.