Coaching Expression of Interest
Hey hey, thank you for your interest in coaching with me. Please note that spaces for Signature & Weekly Coaching are highly limited to protect the quality of support provided to each client. Once this form is submitted, I’ll be in touch via email within 1-3 business days. (Form completion time: 5 minutes)
A. Basic Information
Name
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First Name
Last Name
Your Age
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you must be at least 18 years old
Gender
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Please Select
Female
Male
note that my coaching is targeted exclusively for women ONLY (except the Signature Recomp Plan)
Email
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Confirmation Email
example@example.com
City of Residence
*
e.g. Sydney, Australia
Instagram Handle
*
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B. Your Fitness Goals
1. What are your fitness goals? (aka what are 1-3 things you'd feel super proud of achieving in 3-6 months)
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be as specific and detailed as possible
2. What has been getting in the way of you achieving this on your own so far?
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be as specific and detailed as possible
3. Why does achieving this matter to you right now? What are you willing to do differently over the next 3-6 months to make this happen?
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C. Coaching
1. Which coaching option are you applying for?
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Signature 1:1 Coaching (3 months term)
Signature 1:1 Coaching (6 months term)
Weekly 1:1 Coaching (3 months term)
Weekly 1:1 Coaching (6 months term)
2. When are you looking to start coaching?
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Day
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Month
Year
2 digit day, 2 digit month, 4 digit year
Coaching start dates are on Mondays, and it will be at least two weeks from today
3. Are you financially committed to investing in your fitness and health through coaching? (Prices range from USD 99-135/ week)
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Yes, I would love to be onboarded now (refer to option 1 below).
I'm ready to move forward, however I'd like to discuss a few things first. (refer to option 2 below).
Almost there. Your coaching spot is only confirmed once your deposit has been paid after submitting this form.
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I understand that my coaching spot is not confirmed until I pay the $55 deposit on the next page.
What would you most like clarity on before deciding whether coaching is right for you?
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Provide at least 3 specific time slots you’re available this/next week, including your time zone.
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Thank you for expressing your interest. Once your response has been reviewed, you will receive an email with your recommended coaching option along with any relevant documentation.
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Great, I have reviewed my response and am ready to submit it.
Submit
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