Coaching Application Form
CONGRATULATIONS! You’ve already taken the hardest step...deciding you deserve to feel confident and comfortable in your body again.
Name
First Name
Last Name
Age
Email
example@example.com
Phone Number
*
Format: (000) 000-0000.
To confirm, you are filling this out because you want to lose between 5-25lbs of stubborn fat, regain energy, optimize hormones, build lean & tone muscle + make this the LAST COACH you’ll ever need?
Yes,I want to learn how to build my dream body in a way that fits my real life.
No, I'm leaving immediately
Which of these best describes your goals?
I want to lose between 5-25lbs of stubborn fat, regain the energy I once had, and feel sexy and confidant in my body.
I want to restore my hormones and understand why my past attempts at “diets” have failed.
I want to lose some weight , build muscle and feel more confident in my skin + regain a healthy relationship with food.
I’m not exactly sure what my specific goals are, but I do know my approach to nutrition, fitness, and health is not working the way I would like them to.
What make you interested in working with me specifically?
Because I’ve followed you for a long time, and witnessed the amazing success stories and transformations, and hope to be your next success story!
Because I want to utilize a proven method that will address the underlying root causes of my weight loss issues, instead of being told “eat less, and move more.”
The support, knowledge, and accountability of your incredible team allows me to fully trust that you guys will be the last coach I’ll ever need.
All of the above
I’m not very familiar with your program, but I am interested in learning more!
What is the main goal you want to achieve?
What do you feel you struggle with the most when it comes to reaching your goal?
Nutrition
Workouts
Accountability and staying consistent
Feeling overwhelmed and knowing what to do
Do you have a significant other? If so, are they supportive of you potentially investing in your weight loss, health, and personal growth?
Yes, I have a significant other and they are supportive.
Yes, I have a significant other but this is my decision to make.
Yes, I have a significant other but they may need to be on the call with me to make a joint decision.
Nope, I make my own rules!
Last Question! If we were to find a way to reach your dream body, optimize your health, and learn how to keep your results for LIFE, making this the last coach you'll ever need...would you be willing (and able) to invest in getting the help necessary to get there?
Yes, I have the cash flow to invest in myself.
Yes, I may or may not have the cash flow but I'm resourceful and/or have access to credit.
No, my cash flow is month to month and I have no access to credit.
Thank you so much!
I Will Review Your Application And We Will Be In Touch For Next Steps.
Submit
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