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Pre-evaluation form
The following questions are designed to give me a quick insight into where you're at and how we can get you to where you want to be!
9
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1
Full Name
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First Name
Last Name
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2
Email
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3
Question 1
What goals are you looking to achieve my working with me as a coach?
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4
Question 2
What has prevented you from reaching your goals in the past?
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5
Question 3
What concerns do you currently have about your health, wellbeing and fitness ability?
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6
Question 4
How much money do you think you spend per week on average, on things that cause you to stray away from your health and fitness goals? (Eg: Fast food, alcohol, unnecessary quick fix supplements)
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7
Question 5
What would achieving your goals mean to you?
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Question 6
How would you rate your readiness to change? 1=Im not ready to change, 5= Im 100% ready!
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5
Im not ready to change
100% i am ready-lets go!
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9
Question 7
How would you rate your willingness to invest financially in your own health and wellness 1-5 (5- I am all in. 3 - I’m not sure I can commit financially but I’m willing to find a way. 1 - I am not financially available to invest in my health and well-being currently)
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