Rob Swaine Online Coaching Application

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Welcome

Please Fill In The Questionnaire

15Questions

1
Name:* This field is required.
First Name
Last Name
2
Email Address* This field is required.
example@example.com
3
Phone Number:* This field is required.Please include your country code if non UK
4
Instagram Handle:* This field is required.Eg: @thebestinstagramhandle
5
What is your occupation?
6
What are you struggling with right now?* This field is required.
7
In a "best case" scenario, and everything went to plan, where exactly do you want to be 6 months from now?* This field is required.E.G I'd like to have lost 2 stone, be able to fit into my clothes better, not feel embarrassed when I take my clothes off, have more self confidence in my self appearance, and feel happy about my body image.
8
Please detail why you feel you would be a suitable applicant?* This field is required.Detail: Why you feel you would suit my coaching, the efforts you are willing to invest into reaching your goal and why you feel now is the best time to make a change.
9
On a scale of 1-10 how committed are you to making a serious change to your life?
1-3
4-6
7-9
10
10
How much money have you already invested into trying to achieve your goals? Include: Programmes, diet plans, diet products, previous coaching, online fitness subscriptions...
11
Being totally transparent with you, my world class coaching service works out as just £199 per month. That is £49.75 per week. If I was to guarantee you achieve the goals you have mentioned above and effectively change your life is this something you are able to invest?* This field is required.
Yes
No
12
We also have a programme which is just £99.00 a month - is that something you can invest into achieving your goals?
YESNO
13
Providing i think you are a good fit for my programme and we feel you would suit our coaching, are you looking to start asap?
YESNO
14
Is there any additional information you'd like to inform me about, before you register your interest?* This field is required.(N/A if No)
15

Thank you for filling in the form.

After you click the 'SUBMIT' button i will review your application and if i feel your are a suitable candidate for my coaching then i will be in touch.

Rob
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