Coaching Consultation Form

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Full Name

First Name

Last Name

2

How old are you?

3

Email

example@example.com

4

Phone Number

5

What is your Instagram username?

6

What is your occupation?

7

1. What are your current health and fitness goals? (you can select multiple)

Lose body fat

Gain muscle

Get stronger

Improve general health and fitness

Other

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2. What are the biggest barriers that restrict your progress? (you can select multiple)

Time

Knowing what to do

Motivation

Consistency

Support and accountability

Other

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3. In a perfect world, what would you like to achieve in the next 16 weeks?

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4. Have you ever had a PT/coach before?

Yes

No

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5. What have you tried in the past and why do you think it hasn't worked for you?

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6. Why is this important to you?

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7. Why is now the right time for you to take action?

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8. What experience do you have in the gym? (select the answer the best describes you)

I've never been to a gym

I have a little experience

I've been on and off a number of times over the years

I am quite experienced

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9. Do you currently have a gym membership or are willing to get one?

Yes

No

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10. This is a premium 1:1 coaching program with limited spaces. Are you ready to commit to and invest in a high-quality program with guaranteed results?

Yes

No

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11. Do you have any other information that you would like to share?

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