Train Like A Champion
Ethical science based coaching.
Application
Name
*
First Name
Last Name
Phone Number
*
Please enter a valid phone number.
Email
*
example@example.com
Instagram @ or Facebook Name if you have one
I would love to connect with you :)
What are some of your overall health and fitness goals?
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How committed are you to reach your goals?
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Not a priority (0%)
1
2
3
4
5
6
7
8
9
High priority (100%)
10
1 is Not a priority (0%), 10 is High priority (100%)
You understand that progress isnt always linear and it will require consistent compliance, patience and dedication to acheive?
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YES
NO
What have you attempted to do in the past?
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What kind of programs and/or diets have you experience? Why or why not where they successful attempts for you?
Have you ever been coached before?
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If so, was it in person or online? Bad or good experience?
What is your current training routine like? (Cardio & Training) If you don't have a routine in place or its inconsistent, no worries just indicate below.
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Cardio: Duration, frequency, intensity and choice of cardio used. Training: How many days per week, sets, reps and split rotation.
What are you currently eating on a day to day basis? If you have macros you are following please indicate below. Are you maintaining, losing or gaining on what you are currently doing?
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Indicate any dietary preferences or restrictions.
What supplements are you currently taking?
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What is your biggest challenge to achieving your health goals? (Select all that apply)
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Time Management
Exercise
Nutrition
Accountability
Finances
Adherence/Compliance
Do you have any injuries or diagnosed medical conditions that I need to be aware of?
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Any medicine? Past injuries? Diagnosis?
You will receive an email or DM from me to schedule a phone consult if I feel we would be a good team to reach your goals.
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