1 on 1 Online Fitness Coaching
This application is to assist me to better understand what you need to take your health and fitness to a greater level and beyond!
Name
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First Name
Last Name
Email
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example@example.com
Phone Number
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-
Area Code
Phone Number
Your Facebook Profile link (or your full Facebook name):
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How long have you known me for?
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Less than 6 months
More than 6 months but less than a year
Over a year
Occupation
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Age & Weight
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Do you feel like you need help?
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Yes
No
Not sure
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What is your goal? Improve mobility? Decrease pain? Lose weight? Gain muscle? Gain more energy? Do a push-up? Be specific. Doesn't just have to be a physical goal.
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What would be the most important criteria for your success as we work together?
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What have you tried in the past and why hasn't it worked for you? What's stopping you from hitting your goal?
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On a scale of 1-10... 1 being I'm satisfied where I am and 10 being I'll do anything to reach my goal. What number are you?
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Does your spouse or significant other support you? (Meaning they will give you a thumbs up on whatever you decide)
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Yes
No
Not applicable
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What would you expect from me as your coach if we decide to work together?
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Space is very limited and I want to make sure this is a good fit, why do you think you would benefit from a call or be a good addition to our mentorship, if invited?
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With that said, are you willing to invest financially to reach your goals? (Be ready to move forward on the call IF YOU and I decide you're a good fit for this program. IF you are not a good fit I will let you know and refer you to someone else)
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If accepted how soon are you looking to get started? (if you aren't ready please just wait and schedule when you can. I expect those who feel it's a fit to move forward. Those who don't take actions are 95% more likely to continue to do nothing).
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I realize I'm booking a real time slot with you.
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Yes
No
I will be available to take the call in a quiet, distraction free environment at our agreed upon time.
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Yes
No
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