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1:1 Fitness & Nutrition Coaching
Let me get to know you and see how I can help!
11
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1
First Name
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First Name
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2
First of all, let's go through the simple details. What's your name?
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First Name
Last Name
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3
Last Name
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Last Name
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4
Email Address
example@example.com
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5
Phone Number
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please include area code if not located within Australia.
Please enter a valid phone number
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6
Age
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7
Are you located around the Noosa area?
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8
If not, what time zone / area are you located?
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9
What do you do for work?
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10
How often do you currently train / exercise per week?
0 times
1-2 times
3-4 times
5+ times
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11
How often would you like to train / exercise per week?
0 times
1-2 times
3-4 times
5+ times
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12
What are your current fitness goals?
Lose body fat
Tone & Sculpt your body
Increase strength / muscle
Improve overall fitness
Other
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13
What have been your biggest obstacles stopping you from achieving your fitness goals?
Lack of time
Lack of motivation
Lack of knowledge / guidance (e.g. not having a coach / program to follow)
Cost
Other
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14
What are you most interest in?
Face to Face Personal Training
Online Training Coaching
Online Nutrition Coaching
Online Training + Nutrition Coaching
Online Coaching + Face to Face Personal Training
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15
How would you describe your current knowledge around nutrition?
Beginner - have minimal knowledge around calories / macro's
Intermediate - have a semi idea around calories / macro's
Advanced - know a lot about calories / macro's
Other
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16
How committed are you about making a change and ACTUALLY achieving your fitness goals? (on a scale of 1-10*)
Please Select
1
2
3
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5
6
7
8
9
10
Please Select
Please Select
1
2
3
4
5
6
7
8
9
10
*10 being very committed and 1 being not committed at all
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17
How much $ are you willing to invest in yourself per week to achieve your fitness goals?
$0 - AUD$80
AUD$80 - AUD$90
AUD$90+
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18
How did you hear about me?
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Instagram
Facebook
Tik Tok
Club Lime Gym
Friend / Colleague
Family member
Google
Other
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19
What is your preferred mode of contact?
Text message
Phone call
Email
Other
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