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.
Date
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Month
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Day
Year
Date
Name
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First Name
Last Name
Phone Number
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Please enter a valid phone number.
Email
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example@example.com
Preferred way to be contacted?
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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
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Morning - 9am - 12pm
Afternoon - 12pm - 5pm
Evening - 5pm - 7pm
What area are you looking to get help in? (Check all that apply)
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Nutrition/Building a Relationship with your eating habits
Physical Activity/Learn to Weight Training and Build Strength Properly
Personal Development/Understanding your Preferences & Tendencies ("SUPERPOWERS)
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
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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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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
What troubles are you having with your nutrition?
How long has this been going on?
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Mental Conditioning
This area will give me better idea of your perspective on how you operate as an individual in 4 areas PROBLEMS, PEOPLE, PACE, AND PROCEDURES. So when answering these questions be mindful of how you actually prefer to behave and operate. Please do no guess be because it won't help you or me as a coach.
What is your definition of self-awareness?
What is one obstacle that’s holding you back from getting to where you want to go?
If you had to choose 1 word, what word would you choose to describe yourself?
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Extrovert - are energized by socializing in larger groups of people, having many friends
Introvert - are energized by spending time alone or with a smaller group of friends
Ambivert - who have both introverted and extroverted tendencies.
What word would you choose to describe yourself?
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People Oriented
Task Oriented
Combination of both Task & People Oriented Type
Which of the behaviors do you feel resonate with you and feel is your "SUPERPOWER"? If you feel you resonate with 2 of the behaviors then choose 2.
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FLIGHT ATTENDANT- People-oriented, focus on experience, and sociable people. Tend to be energetic and active.
GROUND CREW - People & Task-oriented, prefer a slower pace, look for direction so they know what to do, prefer to be in a small groups and in a supportive role.
AIR TRAFFIC CONTROLLER - Task-oriented, focus on the little things(details), organization is key, cautious in their approach.
PILOT - Task-oriented, focused on solving problems, quick decision makers, love to take on new challenges, tend to take lead with no plan but the will to accomplish.
Why do you feel this is your "SUPERPOWER"?
Are you…..
Quick to trust
Slow to trust
Do you prefer a….
Slow pace in your working environment
Fast pace in your working environment
Do you prefer ….
Follow rules of the given environment
Work independent of the given rules of the environment
Are you…..
Quick to anger
Slow to anger
What are 3 words you would choose that describe your preferences towards interacting with others & expressing emotions:
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Inspiring - to fill someone with the urge or ability to do something creative or worthwhile. It is about motivating and encouraging someone to be their best and strive for excellence.
Energetic - to have a lot of energy and enthusiasm. It is characterized by vigor, liveliness, and dynamism.
Optimistic - having a positive attitude and outlook on life. It is characterized by hopefulness and confidence about the future.
Expressive - being able to express oneself freely and clearly. It is characterized by openness and the ability to communicate one's thoughts, feelings, and ideas.
Sociable - enjoying being with other people and having an easy manner in social situations. It is characterized by friendliness and a willingness to interact with others.
Friendly - having a pleasant and amiable disposition. It is characterized by kindness, compassion, and a willingness to help others.
Charming - having a pleasing and attractive personality. It is characterized by charisma, grace, and wit.
Soft-Spoken - speaking in a quiet and gentle manner. It is characterized by politeness, humility, and gentleness.
Introspective - being focused on one's own thoughts and feelings. It is characterized by self-reflection, introspection, and contemplation.
Reserved - having a restrained or reticent manner. It is characterized by caution, restraint, and self-control.
Introverted - having a tendency to focus on one's own thoughts and feelings rather than those of others. It is characterized by shyness, reticence, and introspection.
What are 3 words you would choose that describe your preferences towards pacing your environment and workflow within a given environment:
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Empathetic - having the ability to understand and share the feelings of another. It is characterized by compassion, understanding, and sympathy.
Predictable - having the ability to be anticipated or foreseen. It is characterized by regularity, consistency, and dependability.
Patient - having the ability to accept or tolerate delays, problems, or suffering without becoming annoyed or anxious. It is characterized by calmness, perseverance, and resilience.
Thoughtful - having the ability to think carefully and deeply about something. It is characterized by consideration, reflection, and introspection.
Reliable - having the ability to be trusted and depended upon. It is characterized by dependability, trustworthiness, and consistency.
Consistent - having the ability to remain the same over time. It is characterized by steadiness, dependability, and uniformity.
Outgoing - having a friendly and outgoing personality. It is characterized by sociability, enthusiasm, and extroversion.
Active - having a lot of energy and enthusiasm. It is characterized by vigor, liveliness, and dynamism.
Impatient - having difficulty waiting or tolerating delays. It is characterized by restlessness, irritability, and frustration.
Fast-Paced - having a quick and energetic pace. It is characterized by speed, intensity, and urgency.
Urgent - requiring immediate attention or action. It is characterized by immediacy, importance, and urgency.
What are 3 words you would choose that describe your preferences towards following rules, protocols, and systems when placed on you by others:
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Systematic - having a methodical and organized approach. It is characterized by orderliness, precision, and thoroughness.
Cautious - having the ability to think carefully before acting. It is characterized by prudence, wariness, and deliberation
Analytical - having the ability to think logically and critically. It is characterized by logic, reason, and objectivity.
Diplomatic - having the ability to handle delicate situations with tact and diplomacy. It is characterized by tactfulness, discretion, and diplomacy.
Organized - having a methodical and orderly approach. It is characterized by orderliness, precision, and thoroughness.
Balanced - having an even and harmonious combination of qualities. It is characterized by equilibrium, proportion, and moderation.
Reasonable - having the ability to think logically and critically. It is characterized by logic, reason, and objectivity..
Independent - having the ability to think and act independently. It is characterized by autonomy, self-reliance, and self-sufficiency.
Free Spirited - having the ability to think and act in an uninhibited way without worrying about normal social rules.
Rebellious - having the tendency to resist authority or convention. It is characterized by disobedience, defiance, and nonconformity.
Innovative - having the ability to come up with new ideas and solutions. It is characterized by creativity, originality, and inventiveness.
What are 3 words you would choose that describe your preferences towards making decisions & solving problems:
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Commanding - having the ability to lead and direct others. It is characterized by authority, decisiveness, and confidence.
Decisive - having the ability to make quick and confident decisions. It is characterized by firmness, certainty, and resolution.
Competitive - having the ability to strive for success in a competitive environment. It is characterized by ambition, drive, and determination.
Ambitious - having the desire and determination to achieve success. It is characterized by ambition, drive, and determination.
Determined - having the resolve and dedication to achieve a goal. It is characterized by commitment, perseverance, and resilience.
Practical - means having the ability to apply knowledge and skills in a practical way. It is characterized by usefulness, efficiency, and effectiveness.
Conservative - means having the tendency to resist change and maintain traditional values. It is characterized by caution, restraint, and tradition.
Considerate - having the ability to think of the feelings and needs of others. It is characterized by thoughtfulness, kindness, and sensitivity.
Accommodating - having the ability to be flexible and accommodating. It is characterized by adaptability, understanding, and tolerance.
Agreeable - willing to agree to something. It is characterized by kindness, compassion, and a willingness to help others.
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Self-Inventory
What is your definition of "HEALTHY"?
What do you feel your "STRENGTHS" as a person are?
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What do you feel your "LIMITATIONS" are as a person?
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What area in your life do you feel you could improve in?
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Are you aware of your GOD given "GIFT"? Meaning the thing you do best with the least amount of effort. Please describe below…
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