Errol Hopgood (@Dustxmoneyfitness) 1:1 Personal Coaching & Nutrition
Only Apply If You are 100% Serious about transforming your body & life - Im Looking for individuals ready to commit, Follow the plan and get Results 💪🏽 - The More Honest and detailed you can be the better. Once this form is submitted I will reach out to you via IG @dustxmoneyfitness to confirm a Video Call Date/Time
Name
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First Name
Last Name
Email
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example@example.com
Age
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Current Weight
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Height
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Location (Country & City)
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Instagram handle
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Phone Number (optional for now)
Please enter a valid phone number.
Format: (000) 000-0000.
Appointment to Book Video Call
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What Are Your Top 1 ‑ 3 Goals? (Fitness & Nutrition)
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Eg. Weight loss, Muscle Gain, Fitness, Health, Strength, Flexibility, Energy
Why Do You Want To Achieve These Goals?
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What Are Your Biggest Struggles / Obstacles?
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What’s stopping you from reaching those goals on your own? Required
When Would You Like to Achieve These Reuslts (Specific Date)
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How will you feel or what would happen if you are still in this current condition or worse by your deadline?
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What Are 2 - 3 Areas On Your Body You Are Not Happy With?
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What Is going On With These Areas?
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How Many Days Training Can You Realistically Commit To Per Week?
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1-2 Days
3-4 Days
5 Days +
Do You Track Your Diet/Nutrition?
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Yes Consistently
Yes, But Inconsistent
No, Never
Tried, But Stopped
Are You Willing to Follow a Customized Meal Plan / Macros?
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Yes
No
On A Scale Of 1 to 10 How Committed Are You Towards Your Training/Diet Goals?
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1 being low 10 being high
What’s motivating you to make this change now?
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What are you looking for in a coach or program?
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e.g., accountability, structure, education, flexible nutrition, motivation, Programs, support, etc.
Do You Have Past Program / Coaching Experience?
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“Yes / No / Maybe” + if yes: “What worked / What didn’t / What you liked or disliked”
If accepted into the program, are you ready to start in the next 7 days?
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Submit
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