Jay Saulwas | 1:1 Coaching Application

1

What's your #1 fitness goal right now?* This field is required.Are you trying to gain muscle, lose some weight or something else?

2

What's your #1 fitness goal right now?* This field is required.

Lose weight / fat

Put on muscle and size

3

What changes in your life once you actually hit that goal?* This field is required.

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What's the single biggest thing holding you back from that goal right now? (Be Honest)* This field is required.

5

What have you tried in the past to reach that goal? And how did it turn out?* This field is required.

6

Have you worked with a coach or trainer before?* This field is required.

Yes

No

7

On a scale of 1–10, how committed are you to changing* This field is required.1 being “I’m not ready to change” & 10 being “I’ll do anything if it means I reach my goals”

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2
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5
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10

1

10

8

If you qualify how soon can you start training?* This field is required.

This week — I'm ready now

Sometime this month

In the next 1–3 months

Just exploring for now

9

Can you commit to training 3–5 days per week with a custom 1:1 plan?* This field is required.

Yes

No

10

If it's the right fit, what are you able to invest in yourself right now?* This field is required.

Not in a position to invest right now

Yes I have money and I’m willing to invest

11

If you're selected, are you willing to hop on a brief call to map out your next steps?* This field is required.

Yes

No

12

Phone Number* This field is required.

Please enter a valid phone number.

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Name* This field is required.

First Name

Last Name

14

Email* This field is required.

example@example.com

15

Gender* This field is required.

Male

Female

Other

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Age* This field is required.