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Pera Gibbs Movement – Coaching Application
Kia ora! This helps us understand where you’re at and get you set up properly.
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1
Name
*
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First Name
Last Name
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2
Email
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example@example.com
Confirm Email
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3
Phone Number
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Phone Number
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4
Age
*
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5
Gender
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Male
Female
Other
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6
Occupation
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7
Where are you based?
City/region is fine
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8
What sport or activity are you training for?
*
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9
Current level
School
Competitive / Representative
Club
Recreational
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10
What is your main goal over the next 12 weeks?
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E.g. get stronger, improve agility, increase fitness, return from injury
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11
How long have you been training consistently?
*
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Less than 3 months
1–3 years
3–12 months
3+ years
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12
What does your current training look like?
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List day by day — Mon: Tue: Wed: Thu: Fri: Sat: Sun: Or say no structure currently
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13
Do you have any current injuries or pain I should know about?
Include location, severity and diagnosis if known
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14
Is there anything else that may affect your training?
E.g. heavy workload, high stress, sleep issues, medical conditions
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15
Which coaching option are you interested in?
*
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Minimum 12-week commitment All online coaching includes a one-off onboarding fee (Foundation $50, Advanced: $100)
V1 — Foundation ($49/week)
V2 — Advanced ($99/week)
In-person coaching
Not sure yet — I'd like to chat first
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16
When would you like to start?
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17
Book your free 20-min coaching call
No pressure — let's jump on a quick call and figure out the best option for you
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