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Online Coaching Application
Welcome! Please fill in the questionnaire below so I may do my best to help you!
Email *
What Is Your Age? *
What is Your Gender? *
What are your current fitness goals? *
How is your fitness progress going? (Most are in one of 3 places) *
In a year from now, what's your dream body look like? (please be specific, such as weight, body fat) *
How much progress towards your fitness goals did you make last month? *
What roadblocks are slowing you down from attaining your dream body? *
How is Your Gut Health? (digestion/skin/energy) *
Do you have access to a gym? *
How would you rate your fitness level? *
Do you have a personal trainer or are following a specific program you found/bought? If so, please tell us what the program is or what you'r trainer has you do. *
Do you take any medication/supplements? if yes what kind? *
Are there any health problems I should know about? *
What does your current fitness routine consist of (days per week, exercises you do, etc) *
How Dedicated are you towards achieving your goals? *
If you could begin making ​fast p​rogress towards your fitness goals, would you be interested? *
Could you handle the additional attention you'd get from friends as well as the opposite sex from making such fast progress? *
What is Your First and Last name? *
What is your Phone Number? (skype, whatsapp) *
What is your IG Handle? *
What Kind of Help are you Looking For Right Now? *
Is there anything you would like me to know or have questions on? *
A copy of your responses will be emailed to .
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