The Shine Method Coaching Application
Thank you for your interest in working with The Shine Method! Please complete this form to the best of your ability, so that I can assess your needs and ensure we're a good match!
Name
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First Name
Last Name
Email
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example@example.com
Phone Number
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Please enter a valid phone number.
Tell me about yourself...anything goes!
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What are your current goals?
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Have your purchased or tried any health/fitness programs in the past? If so, how would you describe your experience? What were your likes and dislikes?
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Have you ever worked with an online coach? If so, how would you describe your experience? What were your likes and dislikes?
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What does your current diet and exercise routine look like?
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I work out several times a week and pay attention to my nutrition
I am currently sedentary (don't work out) and need to improve my nutrition
I have my workouts nailed down but need more guidance with my nutrition
I have my nutrition nailed down but need more guidance with my workouts
Do you currently or have you ever been diagnosed with an eating disorder?
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Yes
No
What do you think you need most in order to achieve your goals? (check all that apply)
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Accountability + Consistency
Education + Guidance
Community Support
Learning Time Management + Prioritizing
Right now, do you have any specific health concerns such as illness, pain, injuries, etc? If so, please explain.
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What type of coaching are interested in?
Health & Nutrtion
Fitness
All of it!
I’m not quite sure
Why have you chosen to work with The Shine Method?
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How did you hear about The Shine Method?
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Cait Haugen (@cait.haugen)
Jenny Halstead (@halsteadfitness
Google
Referred by a Friend
The Shine Method requires a minimum commitment of 3 months. Are you willing to spend a few hundred dollars per month to make this investment in your health and wellness?
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Hell yes! I'm so ready to invest in myself!
No, I'm not ready yet :/
Anything else you'd like me to know?
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Submit
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