CNG Performance – 1:1 Online Coaching Application
Small Actions. Consistent Effort. Massive Growth. Apply for 1:1 online coaching with CJ at CNG Performance. This form helps us understand your goals, lifestyle, and whether we’re the right fit to work together. Minimum commitment: 12 weeks.
About You
Full Name
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First Name
Last Name
Date of Birth
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Month
-
Day
Year
Date
Email Address
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example@example.com
Mobile Number
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Please enter a valid phone number.
Format: (000) 000-0000.
Address
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City & Country
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Occupation
Coaching Fit & Readiness
Have you worked with an online coach before?
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Yes
No
Prefer not to say
What best describes your primary focus right now?
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Body composition (fat loss or muscle gain)
Performance improvement
General fitness
Return to training after time off
Other
How ready are you to commit to at least 12 weeks of coaching?
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Fully ready and committed
Mostly ready, with minor constraints
Unsure at the moment
Not ready right now
Why do you want to work with CNG Performance specifically?
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Your Goals
Primary 12-Week Goal
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What Would You Love to Achieve in the Next 12 weeks?
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Why Are These Goals Important to You?
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What Has Stopped You from Achieving These Goals in the Past?
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Current Stats & Training Background
Current weight (kg)
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Height (cm)
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How long have you been training consistently?
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Less than 6 months
6-12 months
1-2 years
2-5 years
5+ years
Other
How many days per week are you currently training?
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0-2 days
3 days
4 days
5 days
6+ days
Describe your current training
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Nutrition & Lifestyle
Typical Daily Protein Intake or Usual Eating Pattern
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Typical Daily Water Intake
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Average Sleep per Night (Hours)
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Average Daily Steps
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Current Energy Levels
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Very low
Low
Moderate
High
Very high
Sleep Quality
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Poor
Fair
Good
Very good
Excellent
Training Consistency
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Very inconsistent
Somewhat inconsistent
Moderate
Consistent
Very consistent
Nutrition Consistency
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Very inconsistent
Somewhat inconsistent
Moderate
Consistent
Very consistent
Injuries, Medical Conditions, or Training Limitations
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What Does a Typical Day of Eating Look Like?
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Biggest Wins & Challenges
Recent Win You're Proud Of
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Biggest Current Challenges or Obstacles
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Support or Accountability You Need Most From a Coach
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Coaching Package & Logistics
Which coaching option are you most interested in?
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Training Only
Nutrition Only
Both
How soon are you looking to start if we can create the right plan for you?
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Immediately
Within 2 weeks
Within 1 month
1–3 months
Just exploring options
Preferred contact method for follow-up
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Email
Text Message
Phone Call
Instagram DM
Instagram handle
Expectations & Commitment
What does success look like to you in this coaching relationship?
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Is there anything else you’d like your coach to know?
Please confirm the following
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I understand CNG Performance requires a minimum 12-week commitment for 1:1 coaching
I understand results depend on consistency, adherence, and effort
I confirm I have disclosed all relevant injuries, medical conditions, and medications
Please acknowledge your coaching commitment
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I am prepared to commit to the full minimum coaching period
I understand consistent communication and follow-through are important to the process
Anything else your coach should know to support your progress?
Agreement & Signature
Client Signature
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Date
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Month
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Day
Year
Date
Submit Application
Submit Application
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