1:1 Online Coaching Application
I have limited space available for 1:1 coaching clients. please fill out this application form so I can determine if this program is a good fit for you. After you submit this form, you’ll be directed to our calendar to book your free consultation if you wish!
Part 1. Basic information
Full Name
First Name
Last Name
Gender
Male
Female
Date of Birth
Please select a month
January
February
March
April
May
June
July
August
September
October
November
December
Month
Please select a day
1
2
3
4
5
6
7
8
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12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
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30
31
Day
Please select a year
2026
2025
2024
2023
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
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1931
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1929
1928
1927
1926
1925
1924
1923
1922
1921
1920
Year
Age
years
Height
feet/inches
Weight
LBS.
Part 2. Lifestyle Information
What Country do you currently live in?
What do you currently do for a living?
Please list the physical activities that you participate in outside of the gym and outside of work
Part 3. Training and Readiness Information
What is your primary health, fitness or performance goal?
Are you currently exercising without pain or limitation?
What have your last 3-months of training looked like?
What’s your biggest challenge to achieve your goal?
What’s been your biggest victory in your health and fitness?
What does success with your health and fitness look and feel like?
What was the driving factor for applying to work with me as your coach?
What type of specific support from me, Lala, do you believe will guarantee your results?
I need a customized individualized TRAINING PROGRAM specific to my history, needs and goals that I'll go and crush!
I need an ALL INCLUSIVE holistic health plan including training, nutrition, lifestyle, accountability and mentorship.
Are you currently in a position financially to invest in an online coach?
Yes, I am financially able to hire an online coach
No, but I will figure out a way to make it work because my health is a priority,
No, I am not currently able to financially invest in a personal online coach at this time.
Anything else you'd like to tell me about yourself?
Schedule your FREE coaching consult Zoom on the next page....
Yes! I will schedule my coaching consult call on the results page after submitting my application.
No! I am not interested in doing a consult call to learn more about the entire coaching process.
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