1-on-1 Coaching with Mike Dolce
Prebooking Questions
Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
City, State, Country
*
Gender
*
Current Occupation
*
Are you married, single, or engaged?
*
Married
Single
Engaged
Do you have any children?
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Yes, my children live with me.
No, my children live with their mother.
No, I do not have children.
Yes, my children are grown and live on their own.
How familiar are you with Mike Dolce?
*
Very Familiar
Somewhat Familiar
Not Familiar
Do you own any Dolce Diet books or materials, or have you attended any Dolce Diet related conferences or workshops?
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No
Yes (Please List)
If yes, please list below.
How would you describe your current level of fitness?
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Very fit
Somewhat fit
Not particularly fit
I am not fit at all
What is your current employment status?
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Employed Full-Time
Employed Part-Time
Self-Employed
Unemployed
Student
How long do you envision working with Mike?
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What are the Top 3 Goals you most want to achieve working with Mike?
*
What is your monthly budget to work 1-on-1 with Mike? ($USD)
*
Height?
*
Current Weight?
*
Goal Weight?
*
Final Thoughts – In a few sentences, please tell me why you are interested in 1-on-1 Coaching with Mike Dolce, specifically.
*
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