Online Coaching Application

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Hi There! What's your first name?* This field is required.
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Thanks! What's your email address?* This field is required.
example@example.com
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Great! What's the best number to get you on?* This field is required.
Area Code
Phone Number
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Age?
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What is your occupation?* This field is required.
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What's your goal?
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Which of these statements best describes your current fitness goal?* This field is required.Choose as many as you like
Get In Photo Shoot Shape
Improve Health & Fitness
Lose Body Fat
Build Muscle
Improve Lifestyle, Productivity / Work Focus
Get Ready For Holiday / Event
Other
8
Which of these statements best describes your current situation?
Huge
Large
Normal
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Ok
Ok
9
Which of the following best describes you?
Completely lost
Feeling fed up
Don't know what to do, no motivation
Training hard but making little progress
Completely flying with everything
10
Have you tried to transform your body before?
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Which of these statements best describes your current situation?* This field is required.
I've started but results have stalled
I don't even know where to start?
I need guidance and accountability
I know what I'm doing, I just want a coach's support
Other
12
What has stopped you achieving your goals so far?* This field is required.
Lack of time
Lack of money
Lack of knowledge
Lack of accountability
Lack of commitment
Lack of direction
Other
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How motivated are you right now?* This field is required.
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How long are you prepared to work with myself for?
4 Months
6 Months
12+ Months
Other
15
Is there anything more you'd think I should know to give us a better understanding of your journey thus far and where you want to go?
16
What would success look like 6 months from now?* This field is required.
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Knowing that your level of investment will effect the level of service we can provide, how much are you willing to invest if you could 100% guarantee you will achieve your goals?
£250-£300 / Month
£350-£400 / Month
£400+ / Month
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How much of a priority are making changes to you right now?* This field is required.
High Priority: I need to start working on myself immediately
Low Priority: This isn't a priority, and I'm happy to go at my own pace
19
Other than the physical transformation you are looking for, what other value will this add to your life: relationship, confidence, more productive at work etc?
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Ok
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Last Question! How did you end up on this form? Did someone refer you?
Should be Empty: