NATURAL NOMAD ACADEMY
ELITE 1:1 Coaching Application
What's your full name?
First Name
Last Name
What's your age?
What's the best number to reach you at?
Please enter a valid phone number.
What is your email?
example@example.com
What is your instagram handle?
What is your height (in feet)?
What is your current weight (in pounds)?
What is your number one goal right now?
What is your number one struggle right now and how is it holding you back from reaching your goal? (Please be specific).
How many days do you CURRENTLY exercise weekly? BE HONEST.
How many days a week can you realistically dedicate to exercising?
Please attach a front photo of your current physique.
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Please attach a back photo of your current physique.
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* Men in boxers, Women in bathing suit/bikini *
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Do you have any current or past injuries? If yes, please explain.
Do you have a gym membership? If no, would you be willing to get one?
How many steps do you take a day on average?
Provide a typical full day of eating, including any drinks, or supplements. Explain this in detail, and be honest with me.
How often do you eat out per week? Please provide some of your go-to examples.
What are some of your favorite foods?
What food do you dislike?
Do you have any allergies and/or food intolerances?
Do you smoke?
Do you drink alcohol regularly?
If so, how often and how much?
What do you do for work?
How active is your job (sitting, standing, walking and/or physical labor)?
What are your short term goals (1-2 months)?
What are your long term goals? (4 -12 months)?
Why now? Why not 3 months, 6 months or even a year from now? Why do you want to make these changes to your health and lifestyle now?
Why do you want to work with ME and be a part of the NATURAL NOMAD ACADEMY?
How committed are you to reaching your goals and making a transformation?
What are your expectations working together?
We are going to teach you the RIGHT way to do this. Our focus is to help you surpass your goals, but actually know how to maintain it permanently. Are you willing to invest your time and energy into this program, and trust us to deliver the results you want?
I only work with those who are seriously committed to taking their body and mind to the next level! Are you in a position right now where you are willing and already to make an investment into yourself to surpass your fitness goals?
I understand this program is extremely valuable and I am READY and CAPABLE to make an investment into my goals! (FAST, PERMANENT RESULTS & BEST PRICE)
I understand this program is extremely valuable but, I am on a a tight budget. I will do everything in my power to make it work into my monthly budget as my fitness goals are very important to me. (SLOWER-PACED, LASTING RESULTS & FAIR PRICE)
I am on a VERY tight budget and most likely cannot make this work. (SLOWEST, NON-PERMANENT RESULTS & CHEAPEST PRICE)
Do you understand there is a 30-DAY MONEY BACK GUARANTEE? (If you follow the program instructions correctly and DON'T get results, we will give you a 100% refund)
Yes, I Understand
Do you understand there's an investment option that allows you to JOIN NOW & start burning fat while and investing on your own time at your own pace? (If you're on a budget)
Yes, I Understand. Please give me more info!
How soon would you like to start?
Did a friend refer you to us? If so who?
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