Onboarding Form
My program design is focused on the overall well-being of an individual. As a coach I need to understand where you are coming from so I can begin to design the best course of action for you. It important to me understand "your story" so we can begin to heal and make life changing decisions. Please fill out the information below. Should take you anywhere from 5 to 10 minutes.
Name
*
First Name
Last Name
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email
*
example@example.com
Preferred way to be contacted?
*
Phone Call
Email
Text
Preferred day to be contacted?
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Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Preferred time to be contacted? COACH IS ON PACIFIC STANDARD TIME
*
Morning - 9am - 12pm
Afternoon - 12pm - 5pm
Evening - 5pm - 7pm
What stage are you at?
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Ready to invest in myself now
Willing to hear coaching services and what they have to offer
Not ready to commit to any coaching services but need education
I'm just looking to build my knowledge
If you were to commit to a coaching program, what would you prefer?
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In-person Coaching
Remote Coaching
Combination of In-Person and Remote Coaching
Build my program and let me work independently
If you can't to commit to a coaching program, what is holding you back from starting?
FInacial challenges
Do not have the time
Just to busy to focus on my health
Not ready to commit to anything
N/A
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Fitness Questionnaire
This portion will help me better understand your goals and how I can actually help you.
Age
Height
Current Weight
Goal Weight
Any injuries I should be aware of?
Any health concerns I should be aware of?
What’s your current fitness situation?
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Briefly explain why you are seeking out help from a coach?
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What’s your dream goal?
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How long would it take you to accomplish this on your own?
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Do you want to sustain your goal after you achieve it?
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How long have you wanted to accomplish your goal?
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Why do you want this so badly?
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You already know its not easy to build a physique and get stronger. Will you take my recommendations and do what I ask as a coach in order to help you reach your goal?
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Yes
No
Why are you acting now?
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Why do you think you’ll succeed this time?
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Our average client see success in the first 3 months with us. Are you okay with this?
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Yes
No
What’s your current state? What is your desired state?
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"State" meaning mindset
Have you struggled to accomplish your goals in the past?
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Yes
No
Have you struggled with maintaining a self directed fitness program in the past?
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Yes
No
Do you think you’ll get results faster with an expert helping you along the way?
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Yes
No
Do you think you’d see success faster with daily accountability?
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Yes
No
Is it more important to achieve this fitness goal quickly or permanently?
*
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Nutrition
Tell me about your relationship with food…
Choose the areas your having difficulty in: (choose all that apply)
Portion Control
Emotional Eating
Lack an eating schedule
Don’t know what to eat
Don’t know what to buy at the grocery store
Don’t have time
Eat convenience food
Lack energy
Afraid to eat
Why do you feel your having trouble in these areas with you nutrition?
How long has this been going on?
Submit
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