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12
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1
What is your primary fitness goal?
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Weight Loss
Weight Gain
Health and Longevity
Muscle Toning
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2
How old are you?
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18-21
22-25
26-35
36-45
45+
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3
What is your occupation?
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4
How physically demanding is your occupation?
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Light (mostly sitting)
Moderate (mix of sitting and moving around)
Heavy (constantly on your feet, lifting, etc.
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5
What inspired you to start your wellness journey?
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Tell your story, I truly love reading them:)
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6
This application is for 1:1 remote coaching (personalized nutrition, workouts, checkins, direct communication, mental health support) REAL results take months, not weeks! However, as all of my clients feel and even see a big difference with in the first weeks, our focus is long term results. Can you commit to yourself?
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Let’s do this!
Okay I’ll come back when I’m fully ready!
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7
What’s your name?
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8
What’s your phone number? - you’ll receive a text from me soon:)
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Please enter a valid phone number.
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9
What is your email address?
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example@example.com
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10
Where are you most comfortable exercising?
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Home
Gym
Both
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11
Do you have any food icks, allergies or restrictions?
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12
Lastly, tell me a little bit about your journey so far. What are you looking for within a coach?
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