1-1 Coaching Application Form

1
What's Your Full Name?* This field is required.
First Name
Last Name
2
And your Email* This field is required.
example@example.com
3
And your Phone Number* This field is required.(sometimes email get's lost in spam and I can't reach you, then I can't help you!!)
Country Dialling Code e.g. +1, +44
Full Mobile/Cell Phone Number
4
In as much detail as you can, Tell me what you want to work on and why you want my help. What are you struggling with?* This field is required.
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5
On a scale of 1 to 10 how happy are you with your current body? (10 being walk down the street naked)* This field is required.
6
What's your Instagram or TikTok?* This field is required.On the gram? Then drop me your profile so I can find you as emails can get lost in spam. Put N/A if you're not on socials.
7
What have you tried before?* This field is required.Diets, guides, influencer bullshit other PT's?
8
How did you hear about me?* This field is required.
Instagram
Google
Facebook
Your Blog
Friend
Other
The Gym
9
So how long have you been stalki.... following me?* This field is required.
I'm a newbie
3-6 Months
6-12 Months
I've been watching you sleep
10
Ok kid, What are your immediate short term goals, as in what do you want to achieve in the next 12-16 weeks?* This field is required.
11
Have you tried any of these before?* This field is required.
Keto/Atkins
Slimming World
Weight Watchers
Paleo
Intermittent Fasting
Calorie Counting
Macro Tracking
Vegan
Zone Diet
5/2 Diet
Vertical Diet
12
How much money have you invested so far on your journey?* This field is required.None? Enough to fund a small expedition to Tatooine?
13
How does that make you feel?* This field is required. Pissed? Sad? Angry? Frustrated?
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14
Why do you want to invest in online coaching? Why are you filling this out today?* This field is required.
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15
What made you choose me to help you?* This field is required.
16
Were you referred by someone who coaches with me?Tell me who sent you so I can reward them.
17
Let's Book You In For Your Free Call* This field is required.Pick a suitable Time and Date to arrange your FREE 1-1 ZOOM CALL with me so we can discuss coaching in detail, make sure you do it or you may miss your shot. ALL TIMES ARE DEFAULT TO - UK GREENWICH MEAN TIME - PLEASE CONSIDER THIS.
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