Application to work with Krysta
Client Questionnaire:
Full Name
*
First Name
Last Name
Phone Number
*
Format: (000) 000-0000.
E-mail
*
example@example.com
1. How did you hear about us?
*
Please Select
Facebook
Instagram
Google
Referral
Other
2. What do you want us to achieve together? What are your specific lifestyle, strength, and health goals?
3. What are you doing right now to reach those goals? How long do you think it will realistically take to reach the goals you have in your mind?
4. Everyone has something that has the potential to derail their efforts. What obstacles do you see standing in your way?
Stress
Time/Scheduling
Budget
Support System
Skills/Knowledge
Other
5. How often would you like to have movement and/or meditation coaching sessions to achieve your goals?
1 Day a week
2 Days a week
3-5 Days a week
As much as possible
1-2 times a month or less
6. Are you a(n)?
Early bird (6:30am)
Mid-morning enthusiast (8-10am)
Early afternoon flexer (4-6pm)
Hybrid// Half on my own time schedule & half live with a coach
7. Who is your support system? Who is going to keep you accountable and keep you going strong? (If you're unsure that's why having a coach to support you every step of the way with encouragement, enthusiasm, and accountability)
8. How long has it been since you have felt physically fit, and mentally clear? What were you doing then?
9. Do you have aches and pains in any part of your body? Do you hold on to tension or stress in any areas? Any injuries that you will need to work around? (Don't worry there are many different modifications available)
10. Just one last question, if you could imagine how your life will look when you reach your goals, how will you feel? How will your life change?
Submit
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