Online Coaching Application
Welcome to McGuire Fitness and Wellness! Thank you so much for considering me as your online coach to work towards your fitness and overall wellness goals!! Coaching and plan prices vary depending on circumstances ($30-$150). Meal list and Fitness plans can be purchased separately from 1:1 coaching with a one-time payment. (Please fill out the following application to potentially be my next client, you do have to be 18 years or older.)
Name
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First Name
Last Name
Date of Birth
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Month
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Day
Year
Date
Sex:
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Female
Male
Prefer not to say
Email
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example@example.com
Phone Number
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Please enter a valid phone number.
Format: (000) 000-0000.
Age
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State
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Which package are you interested in?
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1:1 Coaching (Personalized meal list/ fitness plans, 24/7 chat available, as well as weekly check ins to monitor progress. $100.00-150.00 monthly depending on needs.)
Meal List (Personalized meals tailored to your goals and lifestyle. Meal tracking, information on macros & nutrition labels. Can be purchased separately if coaching isn’t for you! Starting $30.00 one-time payment.)
Fitness Plans (Personalized workout routines to meet your goals or help get you started. Can be purchased separately if coaching isn’t for you! Starting $50.00 one-time payment.)
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What is your overall wellness goal? (Weight loss, getting more active, healthier relationship with food, etc..)
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Do you currently workout? If so what is your current routine?
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What are some obstacles when it comes to reaching your goals or staying committed to your journey?
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What are some concerns you have for when you start your journey? (Staying committed, nutrition, working out, time management, etc..)
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Is there anything you aren't willing to do? (Diet, workouts, gym, etc..)
If applicable for coaching and meal list, do you have any allergies or diet preferences? (Vegan, Vegetarian, Dairy-free, etc..)
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Current weight
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Goal weight
Do you have access to a gym?
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Yes
No
No, but willing to get a membership
No, but prefer working out at home
Include your social medias for me to check out if you'd like!
Are you willing to let me share your journey and weight loss?
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Any additional questions about services?
Submit
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