PlantKind Online Coaching Application Form

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PlantKind is proud to offer personalized and professional online fitness coaching!

Online coaching takes the guesswork out of training, keeps you progressing forwards towards your goals, and keeps you accountable. What's more, with no traveling and no gym required, the busy parent or professional finally has time to make their health goals a reality.

Everything the busy parent or professional needs to feel, look, and move their best!

How does it work?

Each month of training begins with a live-stream assessment with your coach, Kyle den Bak, PTS, SFG. Based on this monthly assessment, Kyle will continually adjust the program to keep you moving towards your strongest, fittest and most confident self.

Weekly Email support and a mid-point Livestream check-in allow you to work through obstacles and stay accountable each month. Your program and your progress are continuously monitored. Kyle cares about your progress!

Click next to fill out the application and get started!
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Name
First Name
Last Name
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Your Best Email AddressPlease let me know what e-mail address you prefer to be contacted at:
example@example.com
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Phone NumberWhich phone number do you prefer to be reached at?
Area Code
Phone Number
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How many trips have you made around the sun?How old are you.
Please enter a number
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Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please Select
Please Select
United States
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
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How do you most like to spend your time?If you could spend your days doing whatever you wanted, what would you choose? Hobbies, time with family, etc.
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What is your occupation?
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How do you think your are doing in these following categories?Slide the emoji left or right to provide your answer.
Daily Nutrition
Energy Level
Physical Strength
Endurance
Mobility and Flexibility
Stress Management
Sleep Quality and Quantity
Daily Nutrition
Energy Level
Physical Strength
Endurance
Mobility and Flexibility
Stress Management
Sleep Quality and Quantity
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Briefly describe your primary health and fitness goals. Try to narrow it down to three or less.Examples: Become a regular exerciser, train for a marathon, reduce body fat, build strength, improve energy.
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What makes these goals so important to you?Examples: I want to build strength so that I can be a better parent and keep up with my kids. I want to have more energy to do the things I love, like traveling and exploring. I want to feel resilient and confident in my body.
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Briefly describe the obstacles you are facing to achieving these goals.Time? Knowledge? Confidence? Injury? Many things can stand in the way of your goal. As your coach, I'll help you to overcome these barriers.
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What have your exercise habits been for the last three months?
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Have you ever followed an exercise routine? Please briefly describe your experience.For example, did you follow a program out of a book or another trainer? Did you practice with a sports team? Did you follow your own plan and schedule? What did it look like, and what were the results?
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How much time can you devote to training each week?
1-2 hours
2-4 hours
4-6 hours
6+ hours
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What days of the week can you exercise? Check all that apply.
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
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Will you train at home or in a gym? What equipment do you have available to you?Example: Home. I have a selection of kettlebells, 8kg, 12kg, 16kg, a pair of 20lb dumbbells and exercise bands.
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Have you had injuries in the past or current physical injuries or illnesses? Please list them.
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What do you think that I can help you to achieve?
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Do you have any additional information you would like to provide for me?Some examples: Exercise preferences, fears, concerns, barriers to exercise...
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How much are you willing to invest per month in order to achieve your goals?
$200-$300
$400-500
More than $600
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If I become a client, I agree to the Terms and conditions, Privacy Policy and Waiver of Liabilty.* This field is required.Click "I agree to" continue.
I agree
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I am ready to Move Look and Feel my Best!I am ready to put my excuses and past mistakes behind me. I'm ready to take my health and fitness into my hands and to start taking steps today.
Yes! I'm ready!Meh.
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PlantKind is proud to offer personalized and professional online fitness coaching!

Everything the busy parent or professional needs to feel, look, and move their best! How does it work?

Click next to fill out the application and get started!

Everything the busy parent or professional needs to feel, look, and move their best!

How does it work?