GET FIT AND HEALTHY FOR YOUR MIND, BODY AND SOUL APPLICATION
Create lifelong change and become the best version of yourself. If you are ready to work with me in one of my online wellness groups or one on one wellness coaching, please fill out this application form. In addition to finding the right exercise plan for your level and goals, I will be working you through a nutrition plan that fits your lifestyle. My coaching focuses on a holistic approach (whole body) vs. a "diet" mentality. Make a commitment to yourself to get fit and healthy NOW! I look forward to meeting you. ~Coach Audrey
Please fill out this form and I will contact you within 24 hours to discuss this opportunity more.
Name
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First Name
Last Name
Email
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example@example.com
Phone Number
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Please enter a valid phone number.
Format: (000) 000-0000.
How did you come across me?
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My website
Facebook
Instagram
my like page/FB
other
What is your name on the social media platform we connected on? Ex. IG, FB?
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What country are you located in?
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What are your fitness and wellness goals? What are you looking to gain out of this opportunity?
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Lose weight
More energy
Gain strength
Learn about food/nutrition/meal prep
Focus on healthy vs. diet mentality
Find more "me" time
Lead my loved ones to healthier choices/lifestyle
Conquer my stress/emotional eating
Feel confident in my own skin
Uncover my abs/get shredded
Feel "back to normal" in my health and fitness
other
How is your nutrition currently? How many meals a day do you eat and what types of food do you eat? Do you snack and struggle at a certain time of the day? Do you eat fast food? If so, how often?
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What is your current fitness regiment, if any?
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What is the hardest part about healthy eating and exercise for you?
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What have you tried before that maybe worked for a while, but now isn't working? In both healthy eating and exercise.
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Can you tell me more about yourself, interests, hobbies, etc..?
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Describe your current mindset
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Pretty positive. I believe I am doing well.
I struggle to switch from negative to positive on a consistent basis
I could use some help being more positive
I'm not really sure
other
How can I help you as a Coach?
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What are you most interested in?
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Group accountability coaching
1 on 1 coaching ONLY w/ me as your accountability partner
1 on 1 coaching with group accountability added
other
What has you interested in learning more about this opportunity?
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What is the best way to contact you? (phone, email , FB) I will get back to you within 24 hours.
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Submit
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