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Online Coaching Application
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10
Questions
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1
Name:
First Name
Last Name
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2
How old are you?
18 - 24
25 - 30
31 - 36
37 +
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3
How do you identify?
MALE
FEMALE
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4
Email:
example@example.com
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5
How can I help you?
WEIGHT LOSS
MUSCLE GAIN
HYROX
HEALTHY LIFESTYLE
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6
How committed are you to achieving your goals?
Huge
Large
Normal
Small
Ok
quote
Created with Sketch.
Ok
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7
Are you willing & able to invest £35 per week into getting the results you want?
Yes
No
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8
Do you understand that no magic pill, juice cleanse or tea will get you where you need to be - and that hard work is ahead?
YES - LETS GOOO!
No - I don't like the idea of working hard.
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9
Phone Number
Please enter a valid phone number.
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10
Your Instagram handle:
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