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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
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3
Phone
Please enter a valid phone number.
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4
What do you do for work?
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Tell me your occupation and what a typical workday looks like (desk-based, active, shifts, travel, etc.).
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5
What are your fitness goals?
Strength
Fat loss/body recomposition
Mobility
Consistent habits
Nutrition education
Other
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6
How would you describe your training experience?
Beginner
Returning
Consistent
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7
Where do you plan to train?
Gym
Home
Both
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8
How many days per week are you available to train?
2
3
4
5+
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9
What’s your biggest challenge right now?
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10
What would you like to share about your nutrition habits or the support you’re looking for?
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11
What type of coaching are you interested in?
Online
1:1 Chicago — River North
Hybrid
Not sure
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12
How ready are you to commit to your goals?
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Ready to prioritize my goals and follow a consistent plan
Motivated, but I need structure and accountability
Interested, but still exploring coaching
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13
What would make coaching successful for you over the next 3 months?
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14
When are you looking to start?
Now
Within a month
Exploring
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15
I consent to being contacted about my coaching inquiry.
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