Online Coaching Application
Stevens Fit
Full Name
*
First Name
Last Name
First Name
*
Last Name
*
Email Address
*
What is your Instagram username?
What is your number 1 fitness goal right now?
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Lose Body Fat
Build Muscle
Increase Strength
Improve Fitness
Other
How serious are you about achieving this goal right now?
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Not that serious
Quite serious
Very serious - I'm ready for results!
Do you have the finances available to invest in yourself and achieve your goals?
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Yes
No
What do you find hardest when trying to get in shape?
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Lack of knowledge around training
Lack of knowledge around nutrition
Lack of adherence and accountability
Lack of confidence
Is there anything else you'd like me to know?
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