1-on-1 Coaching
Fitness • Wellness • Personal Growth • Life Coaching ✨
Thank you for your interest in working with Coach Lauren Lee.
This application helps me learn more about you, your goals, and where you currently are in your journey. Please answer each question as honestly and thoroughly as possible.
Name
*
First Name
Last Name
Date of Birth
*
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Month
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Day
Year
Date
Email Address
*
example@example.com
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Occupation:
City & State:
Your Goals
What are your primary goals? (Check all that apply)
Weight Loss
Muscle Building
Strength & Performance
General Health & Wellness
Nutrition & Healthy Habits
Mindset & Confidence
Stress Management
Personal Growth
Life Balance
Accountability & Support
Other
In your own words, what would you like to achieve over the next 6–12 months?
Why is achieving these goals important to you?
Current Lifestyle
How would you describe your current fitness level?
Beginner
Intermediate
Advanced
Are you currently exercising?
Yes
No
If yes, please describe your current routine:
How would you rate your current nutrition habits?
Excellent
Good
Fair
Poor
How would you rate your current stress levels?
Very Low
Low
Moderate
High
Very High
How many hours of sleep do you typically get each night?
Less than 5
5-6
6-7
7-8
8+
Health & Wellness
Do you have any injuries, physical limitations, or health concerns?
Are there any lifestyle factors currently impacting your health and wellbeing?
Personal Growth & Mindset
What areas of your life would you most like to improve?
Confidence
Self-Worth
Boundaries
Relationships
Career
Purpose & Direction
Stress Management
Time Management
Personal Development
Mindset
Other
What do you believe is currently holding you back from reaching your goals?
What would your ideal life look like one year from now?
Coaching Readiness
Have you worked with a coach before?
Yes
No
If yes, what was your experience like?
On a scale of 1–10, how committed are you to making positive changes in your life?
Why did you choose that number?
What are you looking for most in a coach?
Investment & Expectations
Coaching requires commitment, honesty, and consistency. Are you prepared to actively participate in the coaching process?
Yes
No
If selected for coaching, when would you like to begin?
Immediately
Within 30 Days
Within 60 Days
Not Sure
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