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Power Full Fitness
If you're interested in health & fitness coaching get in touch with me by filling out this form!
12
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1
Name
*
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First Name
Last Name
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2
Email
*
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example@example.com
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3
Phone Number
Country Code
Phone Number
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4
Please briefly describe why you would like health & fitness coaching.
*
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5
What are your dream health & fitness goals?
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6
How dedicated are you to achieve these goals?
*
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(1 being not at all dedicated - 10 being super dedicated)
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10
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7
How dedicated are you to achieve these goals?
(1 being low - 10 being super ready to start and make a change!)
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8
What services would you like me to help you with?
*
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1-2-1 Personal Training
Online Coaching
Nutritional Coaching
Other...
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9
How would you like me to help you?
*
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Muscle Building
Strength Gain
Weight Loss
Joint Health
General Health & Fitness
Other...
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10
How many days are you willing to attend?
1 day a week
2 days a week
3 days a week
4+ days a week
Other
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11
Do you have any barriers/ injuries/ illnesses that could affect you in achieving your goals?
(Time barrier, Children, Injuries or illnesses.)
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12
How would you like me to contact you?
*
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Email
Phone call
Video Call
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