Interest Form - Work with me 1:1
Please fill out this form if you are serious about improving your sports performance, looking fitter and reducing injuries.
Name
*
First Name
Last Name
E-mail
*
example@example.com
Phone Number
*
-
Area Code
Phone Number
Instagram Handle
*
ex: @cwfitness
Residing Country
*
Age
*
Please Select
Below 18
18-20
21-25
25-30
31-40
40+
Gender
*
Please Select
Male
Female
What sport(s) do you play?
*
Occupation/Profession?
*
Please Select
Pro Athlete (Full time)
Sports & Fitness
Full-time Student
Healthcare
Education
Technology & IT
Finance & Business
Creative & Artist
Engineering & Architecture
Legal & Compliance
Sales & Marketing
Hospitality & Service
Trades & Skilled Labor
Government & Public Servant
Retail
Real Estate
Photography & Media
Other (Specify below)
If select 'others' (refer above)
Monthly Income (USD)
*
Please Select
0
0-500
500-1000
1000-3000
3000+
How did you hear about CWFITNESS?
*
Please Select
Social Media
Friends/Teammates (Let me know below)
Other (Let me know below)
Name of friends/teammates (refer above)
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Have you completed any of my program?
*
Please Select
Yes
No
If YES which program? Which area did you see the biggest improvement in?
What level are you currently playing at?
*
Please Select
Beginner
Amateur
Semi-Pro
Professional
You may select more than 1 option
Primary fitness goal?
*
Build Muscle
Gain Strength
Become more athletic
Loss weight
Reduce Injuries
Move better
Other
You may select more than 1 option
If select 'others' (refer above)
Any sport specific aspects you would like to improve?
*
Strength
Power/Explosiveness
Speed
Mobility
Agility
Stability/Coordination
Conditioning
How often are you currently training?
*
Please Select
1-2 times/week
3-4 times/week
5-7 times/week
What's your biggest motivation for seeking coaching?
*
Please Select
Frustrated with my performance
Not sure how to train like an athlete
Struggle to put together a program
No improvement, feeling stuck
Want to take my performance to the next level
Other
If select 'others' (refer above)
Biggest challenge in hitting goals?
*
Please Select
Lack of knowledge/guidance
Lack of time
Lack of consistency/motivation
Injuries
Lack of resources (facilities)
Other
Why does achieving your goal(s) matter to you?
*
What have you tried so far to achieve your goals?
*
To ensure we are a good match, let me know below why you would like to work with me.
*
Have you ever worked with a coach before?
*
Please Select
Yes
No
How committed are you to achieving your goals?
*
Not bothered
1
2
3
4
Time for a change
5
1 is Not bothered, 5 is Time for a change
Save
Submit
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