Personal Training Application

1
What is your name?* This field is required.
First Name
Last Name
2
What is your email id?* This field is required.
example@example.com
3
What is your phone number ?* This field is required.
4
Date of birth* This field is required.
Date
Month
Day
Year
5
Which city are you currently living in?* This field is required.
6
What is your current occupation ?* This field is required.
Entrepreneur / Founder
Business Executive (CEO, CFO, COO etc)
Professional (Doctor, Lawyer etc)
Software Developer / Engineer / Programmer
Employee (Note : We will most likely not offer a call / meeting after this form as we are exclusive to entrepreneurs, founders, executives and professionals)
7
Where did you first hear about Pranav Bahirwani?* This field is required.
Friend/Family
Instagram follower
Facebook / Instagram Ads
Newspaper / media etc
8
What is your Instagram @handle ?* This field is required.This is so that I can easily refer back to our initial conversation before our first call together.
9
Where would you prefer training?* This field is required.
Home gym (If you have a decent community or home gym set up)
Our recommended Personal Training Studio
10
What are your fitness goals for the next 3-6 months ?* This field is required.Please be specific
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11
On a scale of 1- 5 how committed are you to reach these goals ?* This field is required.1- Not that important , 5 - Super important
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2
3
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5
12
What do you feel are your biggest struggles preventing you from reaching your fitness goals? * This field is required.Please list them out
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13
What do you need the MOST help with right now ?* This field is required.
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Ok
14
Finish this statement below ...* This field is required.RIGHT NOW I ______
Have the financial resources to invest in my health if the right opportunity was before me.
Have access to the financial resources to invest in my health if the right opportunity was before me.
Don't have financial resources at all and not sure how to identify where I might be able to get them to invest in my health.
15
1-1 Personal Coaching with Mr Pranav Bahirwani starts from INR 6,000 / session and is subjective to your goal / timeline and his availability. Pick your preferred option :* This field is required.Minimum commitment duration is 3 months and maximum is 6 months.
3 Sessions / Week ( Mon-Wed-Fri) for 3 MONTHS
5 Sessions / Week (Monday-Friday) for 3 MONTHS
3 Sessions / Week ( Mon-Wed-Fri) for 6 MONTHS
5 Sessions / Week (Monday-Friday) for 6 MONTHS
16
Are you the sole authority in charge of your decisions or do you have a partner who is equally responsible in the decision making ?* This field is required.
I am solely responsible.
I have a partner who is equally responsible.
17
I understand that this is an investment and is subjected to a mutual agreement. I am okay with fact that if my responses don't qualify as the right fit I may not be contacted by THE PB Coaching Team.* This field is required.
YES I UNDERSTAND AND WON'T TAKE IT PERSONALLY NO
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