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Welcome to your Everlean Mentorship application form
Please fill out and submit this form.
11
Questions
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1
What is your main goal?
*
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Weight Loss
Improved Health
Improved Strength
Mental and Emotional Health
Improved Fitness
Eat Healthier
Tone Up
Something else
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2
Our average client lose 10kg (22lbs) in their first three months within our mentorship. Based on those figures how long do you anticipate it will take for you to achieve your long term weight loss goal?
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3
Describe your dream outcome with your health and fitness
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4
Honestly, why haven't you achieved your goal so far?
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5
We work with all physical abilities, fitness levels and nutritional needs. Please state below what help you may require if any.
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6
On a scale of 1-10 how committed are you to changing your life forever?
*
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1
2
3
4
5
6
7
8
9
10
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7
We host three live coaching sessions each week at various times to suit all times zones. What time zone are you in?
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8
Name
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First Name
Last Name
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9
Email
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example@example.com
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10
Phone Number
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Please enter a valid phone number.
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11
After you submit this form you will be redirected to create your mentorship account with The Kilted Coaches. Please tick yes to confirm you understand this.
*
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YES
NO
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