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1
Name
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First Name
Last Name
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2
Email
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example@example.com
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3
What is your #1 reason for reaching out?
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4
How would you describe your current health and wellness practice?
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Non-existent and needs a major overhaul
Inconsistent or unsuccessful and needs some fine-tuning
Steady and satisfying and needs occasional coaching
Other
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5
Have you worked 1:1 with a personal trainer or performance coach before?
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Yes
No
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6
On a scale of 1 - 6, with one being very low and 6 being very high, how ready are you to pay and partner with a coach to help you reach your fitness objectives?
1 - just thought of it
4 - just about ready to commit
2 - entertaining the idea
5 - I think I'm ready
3 - not sure if I'm ready to commit
6 - I am ready to do this Now
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7
Are you willing and financially able to commit to one of the following packages of sessions to reach your fitness goals: 21 days; 3 months; 6 months?
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Yes
No
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8
What is your preferred method of working together?
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In-person, Park City local
In-person, willing to travel
In-person, want Melanie to Travel
Virtual only
Combination in person and virtual
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9
Are you willing to work with our team of trainers in order to meet your budgetary or time objectives?
Yes
No
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10
What do you know about Melanie and WebbWell?
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11
If you have a partner, are they supportive of you investing the time and resources to accomplish this fitness adventure?
YES
NO
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12
Is there anything else you'd like us to know before we reach out to schedule your Free 30-minute consultation?
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