1:1 Training Application

1:1 Training Application
Name *

First Name Last Name
Email *
example@example.com
Instagram handle *
Age *
Melissa is a busy trainer with dozens of applications. Why should Melissa choose you to work with? *
Have you ever had online coaching before? *

Yes No
What are your fitness goals? (Check all that apply) *

Lose body fat Build muscle Gain strength Improve mobility/flexibility Improve eating habits & relationship with food Gain confidence in the gym & with lifting weights Body recomposition
Which of the following are you most interested in? *

Customized workout plan Customized nutrition plan Customized nutrition and workout plan
What do you currently struggle with the most when it comes to reaching your goals? *
How did you hear about my coaching services? *

Instagram TikTok Facebook Friend Other
Why have you chosen to work with me? *
What would be your ideal outcome/what would you like to accomplish if we work together? *
On a scale of 1 - 10, 1 being, "I just want to sit on the couch and watch Netflix all day" and 10 being, "I will go to bed at 9pm everyday if that's what it takes" - how ready, willing, and able are you to change your habits? *

1

2

3

4

5

6

7

8

9

10

1 is Netflix, 10 is Whatever it takes
If I was to tell you that my coaching had the ability to transform your body and mindset that you've been caged in for years in only 90 days for $2000 what would you say? *

Sign me up! I can pay in full Sign me up! I need a payment plan I'm not ready to invest in my health right now
Do you understand that there is no magic pill, juice cleanse, or tea and that hard work and commitment are required to achieve your fitness goals? *

Yes, I am ready Nope, let me try this juice cleanse first I think I'm ready
Should be Empty:

Now create your own Jotform - It's free! Create your own Jotform