Coaching Application
Lifestyle or Competition
Name
*
First Name
Last Name
Email
*
example@example.com
Instagram handle
@example
Back
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Tell me a bit yourself...
I am BIG on communication, so don’t be shy…The more information I have, the better!
What are your health and fitness goals?
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What is your current age, height, and weight?
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What is your current occupation and what type of physical activity does it require?
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What type of physical activities do you currently do? What type of physical activities have you enjoyed in the past?
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What is your go-to karaoke song?
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How committed are you to working hard to achieve your goals?
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I don't want to have to change too much
I am somewhat committed
I am very committed
I will do whatever it takes!
What is the main barrier that has been preventing you from achieving your goals?
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What makes you feel like I am a good fit to coach you personally?
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How many days per week can you commit to working out?
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3-4
4-5
5-6
Will you be working out at home or at a gym? If at home, what equipment do you have available?
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What is your current diet like? Please be thorough and honest. (How many meals, examples of meals, caloric intake, etc.)
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Do you have any prior experience tracking calories and/or macros?
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No prior experience
Calories only
Macros only
Both
Have you had any good or bad experiences with previous diets? Which ones?
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Would you prefer to track macros or follow a meal plan?
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Macros
Meal Plan
Not sure
What is your all time favorite movie?
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Please list any injuries, physical limitations, medical conditions, or prior surgeries I should be aware of.
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Although virtual, my coaching is a very individualized and much more “hands on” approach than other programs. Are you in a financial position to invest a few hundred dollars per month to work towards becoming the best version of yourself?
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Yes! I am ready to make my dreams come true!
Yes, but I would like to discuss investment options.
No, I am not in the financial position to invest at this time, but would love more information.
Is there any other information you would like me to be aware of?
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Please verify that you are human
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What is the most spontaneous thing you have ever done?
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Imagine your life after you have achieved your goals...What does it look like? How does it make you feel?
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Are you willing to weigh and track all of your food?
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Yes
No
Not sure
What prompted you to apply for coaching NOW?
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What was the best concert you've ever been to?
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Are you on any medications?
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When life gets crazy, what are some non-exercise and non-food related habits that help you feel calm or centered?
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Is there anyone who is involved in making this decision with you? If yes, how will their lives be impacted by you achieving these goals?
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