Client Application

1

Name* This field is required.

First Name

Last Name

2

Age* This field is required.

Age

3

Weight & Height* This field is required.

Weight

Height

4

E-mail* This field is required.

5

Phone Number* This field is required.

Area Code

Phone Number

6

What's your favourite book/movie/podcast?

7

You're stuck on an island, other than things that will help with your rescue, what 1 item do you bring and why?

8

How did you find out about online fitness coaching?* This field is required.

9

Have you ever had a fitness coach before?* This field is required.

Yes

No

10

What is your 3 month fitness goal?* This field is required.

11

In an ideal world, in 3 years what shape would you like to be in?* This field is required.

12

Why did you choose to apply?* This field is required.

13

What do you think I can help you achieve?* This field is required.

15

How much are you willing to invest in your health and fitness goals?* This field is required.

16

Is there anybody else who may be involved in your decision to hire a coach or stick to a fitness program?* This field is required.

YESNO