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1
Online Coaching Application
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First Name
Last Name
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2
In a year from now, what does your dream physique look like? (Be specific)
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3
How is your fitness progress going to far?
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Poorly (zero to little progress)
Struggling (some progress but not as much as I would like)
Successful (Good progress, Just looking for more)
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4
How much progress have you made in the last month?
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poorly (Little to no progress)
Struggling (Some but not as much as i would like)
Successful (Good progress, Just looking for more)
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5
What obstacles are stopping you from achieving your dream physique?
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Lack of motivation/Commitment
Information/knowledge
Diet/Macros
Direction/Guidance
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6
If you could begin making fast progress would you be interested?
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Yes ofc!
No, not really
Maybe (Not Sure)
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7
Phone Number
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Please enter a valid phone number.
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8
Instagram @
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9
How much do you have saved up to invest into your dream physique, supplements, food and coaching?
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Under $100
100 - $300
300 - 1k
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