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Coaching Application
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13
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1
Name
First Name
Last Name
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2
Email
example@example.com
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3
Phone Number
Please enter a valid phone number.
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4
Have you ever worked with a personal trainer or coach before?
YES
NO
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5
What are three goals you have for your health/fitness?
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6
What is your biggest struggle when it comes to reaching your goals?
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7
Have you ever followed a fitness program before? (Not Instagram workouts or random Pinterest workouts but a long term program of greater than 4 weeks?)
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8
Have you ever tracked your food intake before? If yes, how did that go for you and what platform did you use? How did you determine your macros if you were following a macro reccomendation?
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9
How long have you been exercising?
Please Select
I don't currently exercise
Less than 1 year
1-3 years
3+ years
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Please Select
I don't currently exercise
Less than 1 year
1-3 years
3+ years
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10
Do you feel comfortable lifting weights?
YES
NO
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11
What is your "why"? Why is it important for you to get healthy now and start making changes in your life?
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12
Coaching is an investment, are you currently ready to invest in your health and wellbeing?
Please Select
Yes, I am ready to invest and make a change!
No, I don't have the funds to spend right now.
Im not sure, depends on how much it costs.
Please Select
Please Select
Yes, I am ready to invest and make a change!
No, I don't have the funds to spend right now.
Im not sure, depends on how much it costs.
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13
Were you referred by anybody? If yes, who?
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