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Online Coaching Application
Thank you for your interest in online coaching! I would love to help you reach your goals. 

ASchmidtFit is focused on helping you achieve your fitness and nutritional goals based on what works in your life. My goal is to teach individuals how to create a balance within their lives so that they can reach their goals while still enjoying the little things.

Complete this 5-minute application and I’ll reach out to you with more information about how my program works within 48 hours.
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What is your name? (First & Last) *
Today's Date *
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What is your email? *
What is your phone number? *

Describe your top 1-2 goals that you are currently working on in your health & fitness.

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On a scale of 1-5, how important is it for you to reach these goals?

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I don't even care
I am READY
Why did you choose the number you chose in the last question?
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Where are you getting stuck right now on your own? Why are you wanting help now?
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What is your age?

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What is your height?
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What is your weight? *
Do you have a goal weight?
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What are the top 1-2 things you do on a monthly basis that negatively impact your health and fitness goals?
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How much do those 1-2 things cost you financially on a monthly basis?
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(example: I spend 3x my budget on food/eating out, I pay for a gym membership I don’t use)
Are you now or have you ever received professional treatment for an eating disorder or a similar diagnosis?
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If you found a program that was exactly what you are looking for, are you in a place in your life where you are able to make a financial & time investment and commit for at least 16 weeks to becoming the best version of yourself, physically and mentally?
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If you are accepted, how soon would you want to get started?

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How did you hear about this coaching program?

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Thank you!
I will review your application and reach out to you shortly with the next steps to let you know if you have been accepted.
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