Form
NXT Level Aesthetics Online Fitness Coaching Elite Lifestyle & Prep Coach
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Name
First Name
Last Name
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Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
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What’s Your IG Handle?
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Age, Weight, Height
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What do you want to achieve?
Your Current Diet & Workout Split
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Do You Have Any Medical Conditions That Will Affect Your Training? If Yes Please Explain Briefly
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Are You Familiar With Counting Macros?
Yes
No
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Have You Had A Set Structured Meal Plan Before?
Yes
No
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What Is More Difficult For You Diet Or Workouts And Why?
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Any Allergies Or Foods That You Can’t Or Don’t Want To Consume?
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What Kind Of Job Do You Have?
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Current Cardio Type And Time?
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Is There Any Specific Time Frame For You To Reach Your Goals?
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Briefly Explain How Your Day Looks (Routine) Wake, Work, Meal Times,Sleep
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Are You Ready To Trust, Follow The Guidelines And Give Your All To Make A Change?
Yes
No
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Are You Ready To Financially Invest Into Yourself/ Coaching?
Yes
No ( Choosing No Will Result In No Reply)
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When Do You Want To Start?
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Thank You For Filling In The Form. If You Are Ready To Reach Your Goals Anwser Down Below And I’ll Be Reaching Out To You Soon
Yes Please
No I Changed My Mind
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