C3 COACHING ENQUIRY
Full Name
*
First Name
Last Name
Age?
Location
e.g., Melbourne, Australia
Email Address
*
example@example.com
Phone Number (optional)
*
Please enter a valid phone number.
Format: (+00) 000-000-000.
What is your number 1 fitness goal?
*
What would achieving this goal mean for your life?
*
If nothing changes over the next 12 months how would you feel?
*
Why is now the right time to make a change?
*
What would success look like after working together?
*
Do you have a specific deadline or event you are working towards?
*
How would you describe your current activity level?
Sedentary
Lightly Active
Moderately Active
Very Active
Do you have previous experience with personal training or structured exercise programs?
*
Yes
No
What do you think you need the most help with?
Training
Nutrition
Accountability
Mindset
Consistency
On a scale of 1-5 how committed are you to achieving this goal?
*
Dont care at all
1
2
3
4
Will do whatever it takes
5
1 is Dont care at all , 5 is Will do whatever it takes
Are you ready to start in the next 7 days?
*
ABSOLUTELY!
No
How did you hear about our services?
Instagram
Facebook
Referral
In person
Are you prepared to invest in coaching to achieve your goals?
*
Yes
I'd like more information
Not yet
Is there anything you would like me to know before we chat?
Submit
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