Founding Mothers Coaching Program Questionnaire
Thank you for your interest in joining my Founding Mothers Coaching Program! This is a FREE 4–6 week opportunity to work with me as I build my signature fitness & nutrition coaching program. Spots are limited to 3–5 women. Please fill this out honestly so I can make sure this program is a good fit for you 💙
Name
First Name
Last Name
Email Address (Optional)
example@example.com
1. How many days a week do you do exercise?
I don't
1-2 days
3-5 days
6+ days
2. How much time do you spend for a regular exercise?
0-30 mins
30-60 mins
60-90 mins
More than 90 mins
3. Where do you prefer to do exercise?
Gym
Home
Fresh air
Other
4. What is your #1 health or fitness goal right now?
Fat Loss
Muscle Tone/ Strength
Energy & Lifestyle balance
Other
5. On a Scale from 1-10, how consistent are you with your nutrition?
1-3 (Not consistent)
4-6 (Sometimes Consistent)
7-10 (Very Consistent)
6. What is your main goal doing exercises?
Lose weight
Gain weight
Maintain weight
Build muscles
Stay fit
Other
7. Are you willing to commit to 4-6 week coaching ? checking in with me? Provide honest feedback back and a testimonial?
Yes, I am all in let’s do it!
Maybe I’m still a bit undecided
8. If selected are you ready to start within 1-2 weeks?
Yes
No
11. Do you have any dietary restrictions or preferences?
12. Why do you feel you’d be a great fit as one of my Founding Mothers?
Phone Number (Optional)
Please enter a valid phone number.
Format: (000) 000-0000.
Please verify that you are human.
*
Submit
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