Section 1 of 1
Pre consultation form
If you have got to this point, that shows you are ready to change your mindset towards movement and nutrition to better yourself.
I look forward to a call with you x
Marina x
Marina x
Email
This form is collecting emails.Change settings
Which of the following describes your primary goal right now?
Which of the following describes your primary goal right now?
Question Type
Short answer
Paragraph
Multiple choice
Checkboxes
Dropdown
File upload
Linear scale
Rating
New
Multiple choice grid
Checkbox grid
Date
Time
Lose Body Fat
Build Muscle
Improve Fitness
Get Stronger
Better Mindset
Improve Relationship with Food
Other:
Add option
…
Answer key
(0 points)
Loading...
Which of these best describes what's been holding you back from achieving your goals?
Which of these best describes what's been holding you back from achieving your goals?
Question Type
Short answer
Paragraph
Multiple choice
Checkboxes
Dropdown
File upload
Linear scale
Rating
New
Multiple choice grid
Checkbox grid
Date
Time
Lack of Time
Lack of Commitment
Lack of Money
Lack of Motivation
Lack of Support
Lack of Accountability
Other:
Add option
…
Answer key
(0 points)
Loading...
When are you looking to start working on achieving your goals?
When are you looking to start working on achieving your goals?
Question Type
Short answer
Paragraph
Multiple choice
Checkboxes
Dropdown
File upload
Linear scale
Rating
New
Multiple choice grid
Checkbox grid
Date
Time
I'm already working on it!
In the near future...
Not anytime soon...
Add option
or
add "Other"
…
Answer key
(0 points)
Loading...
What is your full name?
What is your full name?
Question Type
Short answer
Paragraph
Multiple choice
Checkboxes
Dropdown
File upload
Linear scale
Rating
New
Multiple choice grid
Checkbox grid
Date
Time
Answer key
(0 points)
Loading...
Please provide your email address here.
Please provide your email address here.
Question Type
Short answer
Paragraph
Multiple choice
Checkboxes
Dropdown
File upload
Linear scale
Rating
New
Multiple choice grid
Checkbox grid
Date
Time
Answer key
(0 points)
Loading...
What is your whatsapp number with the country code please?
What is your whatsapp number with the country code please?
Question Type
Short answer
Paragraph
Multiple choice
Checkboxes
Dropdown
File upload
Linear scale
Rating
New
Multiple choice grid
Checkbox grid
Date
Time
Answer key
(0 points)
Loading...
What is your main goal for coaching? (Eg: fat loss, feel better in clothing, improve self-esteem, improve self confidence, weight gain)
What is your main goal for coaching? (Eg: fat loss, feel better in clothing, improve self-esteem, improve self confidence, weight gain)
Question Type
Short answer
Paragraph
Multiple choice
Checkboxes
Dropdown
File upload
Linear scale
Rating
New
Multiple choice grid
Checkbox grid
Date
Time
Answer key
(0 points)
Loading...
What’s your biggest struggle right now with fitness, nutrition, or mindset?
What’s your biggest struggle right now with fitness, nutrition, or mindset?
Question Type
Short answer
Paragraph
Multiple choice
Checkboxes
Dropdown
File upload
Linear scale
Rating
New
Multiple choice grid
Checkbox grid
Date
Time
Answer key
(0 points)
Loading...
What do you feel holds you back the most from reaching your goals?
What do you feel holds you back the most from reaching your goals?
Question Type
Short answer
Paragraph
Multiple choice
Checkboxes
Dropdown
File upload
Linear scale
Rating
New
Multiple choice grid
Checkbox grid
Date
Time
Answer key
(0 points)
Loading...
What does a typical day of eating look like for you?
What does a typical day of eating look like for you?
Question Type
Short answer
Paragraph
Multiple choice
Checkboxes
Dropdown
File upload
Linear scale
Rating
New
Multiple choice grid
Checkbox grid
Date
Time
Answer key
(0 points)
Loading...
Do you have any injuries or health conditions I should be aware of?
Do you have any injuries or health conditions I should be aware of?
Question Type
Short answer
Paragraph
Multiple choice
Checkboxes
Dropdown
File upload
Linear scale
Rating
New
Multiple choice grid
Checkbox grid
Date
Time
Answer key
(0 points)
Loading...
Are you aware that coaching is an investment?
Are you aware that coaching is an investment?
Question Type
Short answer
Paragraph
Multiple choice
Checkboxes
Dropdown
File upload
Linear scale
Rating
New
Multiple choice grid
Checkbox grid
Date
Time
Yes
No
Maybe
Add option
or
add "Other"
…
Answer key
(0 points)
Loading...
What is your budget going into coaching longterm so I can assess if my program is for you?
For example a 6month+ commitment?
(I also have payment plans available).
For example a 6month+ commitment?
(I also have payment plans available).
What is your budget going into coaching longterm so I can assess if my program is for you?
For example a 6month+ commitment?
(I also have payment plans available).
For example a 6month+ commitment?
(I also have payment plans available).
Question Type
Short answer
Paragraph
Multiple choice
Checkboxes
Dropdown
File upload
Linear scale
Rating
New
Multiple choice grid
Checkbox grid
Date
Time
£50-£100
£100-£500
£500-£1000
£1000-£2000
Add option
or
add "Other"
…
Answer key
(0 points)
Loading...
Are you ready to take action by investing in YOU?
Are you ready to take action by investing in YOU?
Question Type
Short answer
Paragraph
Multiple choice
Checkboxes
Dropdown
File upload
Linear scale
Rating
New
Multiple choice grid
Checkbox grid
Date
Time
Yes, let's go!
No.
Add option
or
add "Other"
…
Answer key
(0 points)
Loading...
Is there anything that would cause hestitation in investing in a coach at this time?
Is there anything that would cause hestitation in investing in a coach at this time?
Question Type
Short answer
Paragraph
Multiple choice
Checkboxes
Dropdown
File upload
Linear scale
Rating
New
Multiple choice grid
Checkbox grid
Date
Time
Answer key
(0 points)
Loading...
Is there anything else you’d like me to know before we jump on our call?
Is there anything else you’d like me to know before we jump on our call?
Question Type
Short answer
Paragraph
Multiple choice
Checkboxes
Dropdown
File upload
Linear scale
Rating
New
Multiple choice grid
Checkbox grid
Date
Time
Answer key
(0 points)
Loading...
Link to Sheets
Message for respondents
This form is no longer accepting responses
Summary
Question
Individual
Insights
Total points distribution
Loading...
Settings
Responses
Manage how responses are collected and protected
Presentation
Manage how the form and responses are presented
Defaults
Form defaults
Settings applied to this form and new forms
Question defaults
Settings applied to all new questions