1 on 1 Online Mobility Coaching
The purpose of this application is to get a full understanding of your movement background, history and what you are looking to accomplish in terms of your mobility practice. This will allow me to be fully prepared to serve you best on our call. The more I know the better!
Name
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First Name
Last Name
Email
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example@example.com
Phone Number
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-
Area Code
Phone Number
Where did you find me? Facebook, Instagram, Linked-In, Website, Referral?
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How long have you known me for?
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Less than 6 months
More than 6 months but less than a year
Over a year
Occupation
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Age
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Do you feel like you need help?
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Yes
No
Not sure
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What are you looking to get from remote training?Do you have a specific goal? Improve overall mobility or perhaps to mitigate pain? Is it for or a specific sport, to gain joint strength or to squat better? Move more freely? Be specific!
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What would be the most important criteria for your success as we work together?
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Tell me about your movement history. Were you a runner, a yogi, a crossfitter, an dancer, a general gym go-er, not really into fitness...?
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How many days a week are you committed to your mobility routine?
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Do you have any prior injuries I should be made aware of? Or any pain, stiffness or tension you may experience on a day to day basis?
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Are you currently following an exercise program? If yes, please provide me some details about it. (frequecy, type, ex. bodybuilding, powerlifting, running, or sport specific), if no, is this something you want to include?
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Space is very limited and I want to make sure this is a good fit, why do you think you would benefit from a call or be a good addition to our mentorship, if invited? I'm looking for serious clients who want help and are committed and ready to implement the tools they are given!
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How soon are you looking to start?
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I realize I'm booking a real time slot with you.
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Yes
No
Thank you for taking the time to fill out the questionnaire! You will receive an email within 24hrs, to discuss booking a Discovery Call together. Please let me know your preferred availability for a 30 min call and your time zone. Morning, lunch, afternoon, after work?
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I will be available to take the call in a quiet, distraction free environment at our agreed upon time.
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Yes
No
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