COACHING APPLICATION FORM
1:1 Coaching by Bridgette Godfrey
Name
First Name
Last Name
Email
example@example.com
Instagram handle
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Date of birth
-
Month
-
Day
Year
Date
Coaching level you are interested in?
PREMIUM VIP COACHING - Weekly check-ins
CUSTOM COACHING - Fortnightly check-ins
NUTRITION ONLY COACHING - Weekly check-ins
TRAINING ONLY COACHING - Weekly check-ins
Are you interested in a free discovery call to meet Bridgette and chat about coaching options / whats involved?
Yes
No
If yes, please record a date/time that suits you best:
How experienced are you with resistance training?
No experience
Some experience
Moderately experienced
Very experienced
Does anything inhibit your ability to train? If yes, please explain:
Give me a brief description of what training looks like for you right now:
How would you rate your nutritional experience?
No experience
Some experience
Moderately experienced
Very experienced
Do you have experience with any of the following?
Myfitnesspal tracking
Flexible dieting
Calorie banking
Meal plan adherence
Give me a brief description of what your current day of eating looks like:
How would you rate your sleep quality?
Poor - minus 6 hrs per night
Average - 6-8 hrs per night
Great - 8-9 hrs per night
Do you have a specific goal / goals you would like to work towards?
Yes
Not yet
If yes, please give a brief description of your current goal / goals:
Why would you like to work with Optic Performance?
Do you have any additional comments or questions for Optic Performance?
Submit Application
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