1-2-1 Online Coaching Application

1
Hello, what is your name?* This field is required.
First Name
Last Name
2
Which of these best describe your goal?* This field is required.Choose one option.
I want to drop 10–25lbs of stubborn fat, get my energy back, and actually feel happy & confident in myself.
I want to change my mindset around food and finally understand why every “diet” I’ve tried in the past hasn’t worked.
I want to lose weight, feel comfortable in my own skin again, and rebuild a healthy relationship with food instead of constantly feeling restricted or out of control.
I want to build muscle, tone up, and look stronger - not just smaller.
I’m not 100% sure what my exact goal is yet, but I know my current approach to food, training, and my health just isn’t working… and I’m ready for something that actually does.
3
What makes you interested in working with Alex?* This field is required.Choose one option.
I’ve followed you for a while, seen the results your clients are getting, and I’m ready to be the next one.
I want a method that actually tackles the root of my struggles - not just another “eat less, move more” plan that leaves me back at square one.
The level of support, knowledge, and accountability in your program makes me feel like I’d finally have someone in my corner who knows what they’re doing.
All of the above - I’m ready for real change.
I don’t know much about your program yet, but I’m definitely interested in finding out more.
4
What's been your biggest struggle recently? What stops you achieving your fitness goals?* This field is required.Give as much information as you can.
Huge
Large
Normal
Small
Ok
Ok
5
If you are a good fit for our coaching program, are you able to start immediately?* This field is required.
YESNO
6
OK no problem, when is going to be the best time for you to start and why?* This field is required.
7
What best describes your current financial position when it comes to investing in coaching?* This field is required.Choose one option.
I’m ready to invest in the highest level of support and want the best possible help.
I need to be mindful of my budget, but I can invest in coaching if it’s going to get me real results.
Right now, money is very tight and I’m not in a position to invest in a coach.
8
Do you have a partner, and if so, are they supportive of you investing in your health and coaching?* This field is required.Choose one option.
Yes - they’re supportive, but I’d need to have a quick conversation about the investment before committing.
Yes - they’re supportive, and I can make this decision independently.
No - I’m single and fully in charge of my own decisions.
9
What is your preferred phone number so we can send you a message via WhatsApp?* This field is required.
Please enter a valid phone number.
10
What is your email address?* This field is required.
example@example.com
11
Please share two dates and times that work for you for a free consultation call with Alex. On the call, we’ll talk through your current situation, your goals, and what you’re looking to achieve.* This field is required.Please give the information like this - Date / Time
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