THAT DUDE Fitness & Nutrition Coaching
Coaching Application
Name
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First Name
Last Name
Age
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Phone Number
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Please enter a valid phone number.
Format: (000) 000-0000.
Country
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Email
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example@example.com
Instagram handle
Facebook name
How did you hear about me?
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Height (in feet)
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Weight (in pounds)
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What is your #1 fitness goal right now?
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What are you currently doing to work on that goal?
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What is your #1 struggle right now and how is it holding you back from your goal?
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How many days a week can you REALISTICALLY see yourself dedicating to exercising?
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3
4
5
6
Are you currently on any medications?
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Do you have any current or past injuries? If yes, please explain.
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Are you looking to train at home or in the gym? If at home, what equipment do you have?
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How many steps per day are you getting on average?
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Please walk me through a typical day of eating, including ALL drinks, meals, snacks, supplements, and at what times you eat all these things. PLEASE BE AS HONEST AS POSSIBLE.
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Do you tend to fall off track during the weekend?
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Do you crave sugary foods often?
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How many times do you eat out per week? Please provide your go-to places.
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Do you smoke? If yes, what do you smoke, and how often?
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Do you drink? If yes, what do you drink, and how often?
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What are some of your favorite foods?
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What food(s) do you dislike?
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Do you have any food allergies?
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What do you do for work?
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How active is your job? (sitting, standing, walking, physical labor, etc.)
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What are your short-term goals (1-2 months)?
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What are your long-term goals (4-12 months)?
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Why do you want to start NOW? Why do you want to make these changes in your health and fitness NOW?
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Please attach a front photo of your current physique. (Optional now, but will be required upon intake)
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Please attach a back photo of your current physique (Optional now, but will be required upon intake)
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Why do you want to work with me?
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How long have you been following me?
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How committed are you to reaching your goals and making a transformation?
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What are your expectations working together?
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When do you want to start your program?
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I am going to teach you how to achieve your goals in a way you can sustain for LIFE without dreading the process while getting there. Are you willing to invest your TIME and ENERGY into this program, and do you trust me to deliver the results you want?
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I ONLY work with those who are 100% committed to achieving their fitness goals and taking their health, mindset, and fitness to the next level. Are you in a position where you're ready to FULLY commit to goals NOW?
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I understand this program is extremely valuable and I am READY and CAPABLE to commit 100% to my goals
I understand this program is extremely valuable but I am on a tight budget. I will do everything in my power to make it work into my monthly budget as my fitness goals are very important to me.
I am on a really tight budget right now and most likely cannot make this work
Did someone refer you to me? If yes, who?
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