Femme Form 1:1 Coaching Application
Fitness Coaching For The Women Wanting More.
Name
First Name
Last Name
Which coach are you applying for?
Coach Kassity
Contact Number
Please enter a valid phone number.
Format: (000) 000-0000.
Email Address
example@example.com
What’s your instagram handle?
Where do you live?
Do you understand this fitness program dives deep into personal development and mindset? Are you open and willing to dive into you and do the internal as well as external work?
Why do you want to work with me? Was there a specific thing that you were drawn too?
On a scale of 1-10 how willing are you to invest time and energy into your health and fitness goals? (1 being lowest/10 being the highest)
What's your number one priority with a wellness/fitness journey right now?
Please Select
Building a healthier relationship with food
Fat loss off the
Muscle building
Personal development
Where will you be exercising?
At home
In gym
Tell me a bit about your daily schedule and eating habits? What do you eat and do in a regular day?
Do you have any dietary restrictions?
Do you have any meal plan food requests or favourite foods?
Tell me about your fitness journey so far, why is now the time for change? Why can't you keep putting it off?
Have you ever tried 1:1 coaching before?
Do you have children if so how many?
What do you do for work? How active is you job?
What are your short term goals (3 months)?
What are your long term goals (6/12 months)?
What is your current weight in lbs?
What is your goal weight?
How tall are you?
How active are you? How many steps a day are you getting?
Do you smoke or drink alcohol?
Please add updated photos of your physique - Front.
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Please add updated photos of your physique - Back.
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Are you in a financial position to invest in your health and well-being?
How soon are you hoping to work together?
Did a friend or client refer you to me? If so, who?
Do you want to get email updates for free resources, information, and promotions?
Yes 1
No
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