Online Coaching Application
This short application will help me understand how to serve you best. You may have shared some of these answers with me already, but this process helps me get a deeper understanding. I am looking forward to learning more about you and helping you move in the right direction.
Name
*
First Name
Last Name
Email
*
example@example.com
Mobile Number
*
What's on your mind right now regarding your health? (e.g. loosing weight, fixing your diet, food cravings, boosting energy etc)
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What have you tried to improve the issue you mentioned in the previous question? (e.g. followed a certain diet plan, took a certain supplement or medication, tried a specific workout plan
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What are the DESIRED results you want to achieve? Please describe briefly
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Be 100% honest - what is stopping you reaching your desired results?
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Do you have any experience with coaching programs? If so please describe the good/bad experiences briefly
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What type of work do you do for a living, so that I can assess how it may be affecting your body?
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If you were thinking about starting a new plan that would move you towards your goal, is this a decision you'd make on your own?
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Yes
No
Submit
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