Online 1-1 Coaching Application

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Name
First Name
Last Name
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Email
example@example.com
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Phone Number
Please enter a valid phone number.
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Age
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Gender
Female
Male
Non-binary
Prefer not to answer
Other
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HeightExample: 5'4"
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Do you have any medical conditions or injuries?Examples: Known cardiovascular disease, diabetes, digestion concerns, injuries or recurring pain in any body parts.
Yes
No
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Please give details
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What is your #1 MAIN fitness goal right now?Imagine I can help you achieve absolutely anything. What would that be? Be specific
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What are your struggles or obstacles holding you back from achieving your fitness goals?
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If you have a fitness routine right now, please explain it.If you have had a consistent routine in the past, please explain what worked well or not well.
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Which do you prefer: #1 Quick results but are less sustainable long term or #2 Slower results that are sustainable long term
Quick results, not sustainable long term
Slower results, very sustainable long term
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Have you ever tracked your food or macronutrients?
Yes I have!
I've tried in the past but struggled.
No, I have never tracked my food before.
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Can you commit to trying new nutrition strategies that will give you next level results?
Yes! I am ready to try new things to achieve my best results!
No, I am very set on my current nutrition strategies.
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Can you commit to checking in with me each week?Don't worry - check-ins are quick (usually just an email) but very important to your success.
Yes, I can definitely do that!
I don't think I can commit to weekly check-ins
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Are you willing to give your best effort, work your hardest, and invest in yourself to achieve your dream results?
YES! I am all in.
I've been stuck for a while, but I am ready to accelerate my results.
I don't think I can fully commit...
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On a scale of 1-10, how ready are you to transform and see results?(I am only looking to work with 9 and 10's)
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If I told you that in 3 month's time, I can help you transform both how you look and feel, how much are you willing to invest per month in your transformation?
Less than $150 per month
$150-300 per month
I'm all in. Whatever it takes!
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Final question! Briefly tell me WHY you are ready to transform your body and life.
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What times work best for your free consultation?Look out for an email from me to confirm this date and time!
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