Welcome to Elite Empowerment Coaching 💚
Welcome! I’m so glad you’re here. This application is the first step towards building strength, confidence and sustainable habits. Take a few minutes to tell me about yourself so I can learn more about you and your goals before we take the next step together.
Full Name
Age
Email
Phone number
Instagram handle
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What is your main fitness goal?
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Lose Body fat
Build Lean Muscle
Improve body composition ( Lose fat and build muscle )
Build healthy & sustainable habits
Grow Glutes
Define upper body
Build a stronger core
Other
Why is achieving this goal important to you?
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How many days do you currently exercise each week?
Do you have gym access?
Biggest struggle?
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Time management
Unsure on where to start or what to do
Motivation
Staying consistent
Not seeing progress
All or nothing mindset
Other
If "other" please specify :)
If you could overcome just ONE of these struggles, which would make the biggest difference to your life?
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What do you do for work?
How would you rate your nutrition? (1-10)
How confident do you feel in the gym? (1-10)
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Whats stopping you from reaching your goals on your own?
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Have you ever followed a structured training program before?
Yes
No
Whats your biggest reason for wanting to make a change right now?
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How committed are you? (1-10)
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Are you ready to invest in coaching?
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Is there anything else you'd like me to know?
How did you hear about me?
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Instagram
Tik Tok
Friend
Current client
Gym
Other
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