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1
Full Name
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First Name
Last Name
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2
Age
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3
Email Address
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example@example.com
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4
Phone Number
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Please enter a valid phone number.
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5
How long have you been lifting?
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I have not started yet
Less than 6 months
6-12 months
1-2 years
2+ years
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6
What is your biggest struggle(s) with fitness?
Select all that apply
Building Muscle
Losing Fat
Building Muscle While Losing Fat
Feeling More Confident in My Body
Knowing How to Train Properly
Knowing What Exercises To Do
Knowing What to Eat
Tracking Calories & Macros
Eating The Right Amount For My Goals
Staying Consistent & Accountable
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7
How long have you had this problem?
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Less than a month
1-3 months
3-6 months
6 months to a year
1-2 years
As long as I can remember
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8
Why is this fixing this problem important to you?
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9
How ready are you to commit right now?
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Fully ready
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10
Have you worked with a coach in the past?
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Yes
No
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11
If so, explain your previous coaching experience
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12
Why do you want to work with me specifically?
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13
Are you financially prepared to invest in coaching if accepted? And understand that my coaching is a paid service?
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Yes, and I am ready to invest
No, not right now
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14
Coaching Contract Agreement
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Agree
Disagree
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