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ONLINE COACHING CONTACT FORM
Please complete the form to give me an idea of who you are and what your goals are. Once completed, I will be in contact to talk your goals and how we can make it happen. Speak soon!
10
Questions
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1
What's your name
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First Name
Last Name
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2
What is your number one goal?
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Lose body fat (over 10 kg)
Lose body fat (less than 10 kg)
Build lean muscle mass
Improve fitness levels & athleticism
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3
Everyone comes to the realisation that they need help or some accountability - what was that moment in time?
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4
How serious are you about achieving your fitness goals?
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I will go for it, as long that time is right
I am still unsure
I will do WHATEVER it takes.
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5
Does your spouse/significant other support you and your fitness goals?
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Yes, they are onboard
Not at the moment
I have never asked
It's complicated
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6
If GUARANTEED that you can achieve your ultimate goals & results through my Bespoke Weight Loss programme. How much would you INVEST in obtaining proper help and accountabiloty to get you the results you desire?
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I am not in the position to invest in my health right now
£100 - £150 per month
£150 - £250 per month
£250 - £350 per month
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7
What is holding you back from hitting your goal in the next 6 months?
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I have no clue what to do in the gym. (lack of knowlegde)
I need accountability and guidance ( I can't do it on my own)
I somewhat know what I'm doing but not seeing any results
I have started - but difficult as lacking motivation
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8
What is your profession and how does it affect your health, fitness and stress levels?
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9
What's contact details
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Please enter your email
Please enter a number
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10
Once you have filled the form I'll be in contact via Email or Text, what would you prefer?
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EMAIL
WHATSAPP
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