Coaching Application & Discovery Call Qualifier
Answer a few questions so I can pre-qualify you and tailor our discovery call—takes about 3 minutes.
Contact & Basics
Full Name
*
First Name
Middle Name
Last Name
Email Address
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Instagram Handle
Age
*
Current Lifestyle & Habits
How many days per week do you currently work out?
*
Please Select
0
1-2
3-4
5-6
7
How many times per week do you eat out or order food instead of cooking?
Please Select
0
1-2
3-4
5+
What do you do for work?
*
How would you describe your work schedule?
Very flexible
Somewhat flexible
Rigid 9-5
Shift work/irregular
Investment & Experience
Are you currently investing in your health in any way?
*
Yes
No
If yes, please list what you are currently investing in
Have you worked with a coach before?
*
Yes - online
Yes - in person
Yes - both
No - never
If yes, what worked well and what didn't?
How would you rate your current results with training and nutrition on your own?
*
Poor
1
2
3
4
5
6
7
8
9
Excellent
10
1 is Poor, 10 is Excellent
Goals & Pain Points
What is your #1 physique or performance goal right now?
*
What has been the biggest obstacle stopping you from reaching that goal so far?
*
If nothing changes and you are in the same position 12 months from now, what would that be like for you? How would that make you feel?
What would achieving this goal mean for your life? (confidence, health, career, relationships)
Commitment & Buying Readiness
How soon are you looking to get started?
*
Immediately
Within 2 weeks
Within a month
Just exploring
Are you the sole decision maker for this investment?
*
I decide alone
I need to check with spouse/partner
I need to check with someone else
What is your biggest hesitation or concern about hiring a coach?
How committed are you to making a real change right now?
*
Not committed
1
2
3
4
5
6
7
8
9
Fully committed
10
1 is Not committed, 10 is Fully committed
Do you have a budget range in mind for coaching investment?
Please Select
Under $150/mo
$150-$300/mo
$300-$500/mo
$500+/mo
Not sure yet
Scheduling
Preferred day/time for your discovery call
*
Anything else you want me to know before our call?
Submit
Should be Empty: