Coaching/Mentorship Application
Please fill out in detail your current intentions and goals to have Buckstetics lead you in your fitness journey!
Name
First Name
Last Name
Email
example@example.com
Facebook Name
Instagram Handle
Current Age
Height & Weight - Ex: (6'0-180)
How did you hear about my service?
*
Please Select
Instagram
Facebook
Tik Tok
Referral
Other
Where are you located?
If you had to pick one, what is your CURRENT main goal
Maximize My Strength And Muscle Growth
Lose Weight Or "Tone up"
Focus On Getting My Diet Better
To Be Fully Coached And Mentored
What is your #1 Struggle right now?
How long have you been struggling with this for?
How many days a week do you currently exercise?
0 Days
1 Day
2 Days
3 Days
4 Days
5 Days
6 Days
7 Days
On a scale of 1-10 How committed are you to achieving your goals
1
2
3
4
5
6
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8
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10
Do you have a fear of eating carbs?
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When are you looking to start coaching?
*
Im looking for people that are ready to take action now, if now isn't a good time for you, then please apply when you're ready to get started!
What consequences are you facing or will potentially face, if you don't make a change now?
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What is your primary fitness goal?
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WHY is it important for you to make these changes TODAY?
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Are you at the point where you're ready to invest in your goals?
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YES!
no
What makes you a good fit for Buckstetics?
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Submit
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