WAITING LIST
Welcome and thank you for your request to work with me as your coach, I truly appreciate you connecting with me. Unfortunately, at this time, my current programme is full. You are now in my waiting list for my new programme and I am eager to help you. I will keep you up to date and reach out to you as soon as a space becomes available over the coming weeks. I truly appreciate your support and understanding. I look forward to working with you
Name
First Name
Last Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Gender
Age
Height
Current Body weight in lbs
What is your goal and what do you believe is truly possible for you
Congratulations on taking action on this now. What has brought you to this life changing decision and what impact will achieving this goal do for you and your life
On a scale of 1 - 5 where 5 is AWESOME how committed are you to achieving your life changing goal
Worst
1
2
3
4
Best
5
1 is Worst, 5 is Best
Have you worked with a coach before
Yes
No
What resources and support do you feel you will need from me as your coach to achieve this life changing goal
Mindset / behaviour towards foods / diet
Workout mindset and motivation
Community support
Accountability / showing up
Discipline
Effort
Self belief
On a scale of 1 - 5 what level of personal investment are your prepared to make in commitment, lifestyle changes, finances and effort to achieve your life changing goal
Worst
1
2
3
4
Best
5
1 is Worst, 5 is Best
Do you have any health conditions or injuries (previous or current) that may affect your ability to complete a training program as written? If so please explain.
How many hours or days each week are you comfortably able to commit to your exercise
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