Clone of Jay Saulwas 1:1 Coaching Form

1

What is your Number one Fitness Goal right now?* This field is required.

Getting More Explosive And Faster

Lose Weight/Fat

Feel And Look Good Overall

Put on Lean Muscle and Size

2

What's the biggest thing holding you back from achieving that goal?* This field is required.Be as detailed as possible, this will help me understand your situation so that I can help you to the best of my abilities

3

What have you done in the past to reach your fitness goals?* This field is required.

4

Type a question

YESNO

5

Have you worked with a Coach/Trainer before?* This field is required.

YESNO

6

On a scale of 1–10, how committed are you to improving your overall fitness?* This field is required.Answer based on your actions

1 — Not committed at all I don’t train consistently, don’t watch what I eat, and I’m not serious about changing right now. 10- 10 — Fully committed I will do whatever it takes—train consistently, stay disciplined with nutrition, and prioritize this goal no matter what

7

Can you commit to training 3 - 5 days per week if provided a custom 1:1 coaching plan?* This field is required.

YESNO

8

If chosen, would you be willing to hop on a brief call to outline your next steps?* This field is required.

YESNO

9

How much are you currently prepared to invest in Coaching?* This field is required.

Under $500

$500-$1000

$1,000+

10

Name* This field is required.

First Name

Last Name

11

Email* This field is required.

example@example.com

12

Phone Number* This field is required.

Please enter a valid phone number.