MPB Coaching Enquiry
Are you ready to become Your Personal Best?
Are you interested in
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In person coaching/training
Online coaching/training
1. Personal Information
Name
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First Name
Last Name
Date of birth:
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Month
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Day
Year
Date
Gender:
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Please Select
Female
Male
Prefer not to say
Email
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example@example.com
Contact Number
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2. Lifestyle Information
What is your biggest challenge right now?
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Give as much detail as possible
What's your current work situation?
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Eg,. Full time, shift, work from home, full time parent etc
In 12 months time, what would you like to have achieved to consider yourself successful?
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Eg,. Full time, shift, work from home, full time parent etc
Are you willing, and financially able to invest between £2.50 and £13.50 per day in your health, fitness and wellbeing?
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Yes- I understand that this will be a great option for me
Maybe- I want to make sure that the value is right first
No- I don't have the funds (don't worry if this is the case, we can still help)
How much of a priority is taking control of your fitness, health and wellbeing right now?
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High Priority- I'd like to start working on myself as soon as possible
Low Priority- This isn't too urgent and I'd like to wait a bit before starting, or go at my own pace
Have you tried in the past? If so what happened?
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What makes you think that you would be a good client/good fit for MPB Coaching?
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How did you hear about MPB Coaching?
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Thank you for completing the first steps to becoming Your Personal Best! Click submit and we can book a quick 10-15 minute call together to get underway!
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OK lets go!
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