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Application for 1-1 Coaching
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12
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1
Name
*
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First Name
Last Name
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2
Email
*
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example@example.com
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3
Phone Number
*
This field is required.
Please enter a valid phone number.
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4
What's your Instagram handle? (if applicable)
I'd love to follow you and have you follow me!
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5
What are your current fitness goals?
*
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6
What's been your biggest obstacle so far?
*
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7
Why Now?
*
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Why are you deciding to make a change at this moment?
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8
Have you ever worked with a trainer?
*
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YES
NO
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9
Are you willing to make a financial investment to achieve your health goals?
*
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YES
NO
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10
Are you willing to invest time and energy to achieve your goals?
*
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YES
NO
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11
How did you hear about me?
*
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If you were referred, include the full name of the person who referred you!
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12
What is your availability like?
*
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Put some dates and times when you are usually available to reach out!
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