Welcome to Breakthrough Coaching!
Please take a moment to fill out this application in detail so I can get to know you and your goals more. You will receive a response within 24-48 hours to your email! Make sure to check junk/spam folder
Name
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First Name
Last Name
Best email to reach you
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example@example.com
How did you hear about Breakthrough Coaching?
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Referral
Facebook
Instagram
Other
On a scale of 1-10 how confident do you feel about committing to coaching?
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Have you ever tracked calories/macros before? If so, what was your experience?
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Have you ever worked with a Coach/Trainer before? What was your experience? What did you like/dislike?
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What does your support system look like? Do they know you're interested in investing in a Coach?
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Tell me more about the goals you'd like to achieve with your coach? (physical, mindset, physique etc)
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What services are you interested in?
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Nutrition only
Nutrition + Fitness
Training only
I'm not sure yet
If you decide to move forward with 1:1 Coaching (we will discuss all the options for packages/investment) but we do want to make sure you've considered this investment in your health?
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I HAVE! I'm ready
Yes, but I am nervous
No, I'm not ready to invest in my health
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