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1 on 1 Coaching Application
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What is your primary goal?
Lose fat
Gain muscle/size
Other
Clear selection
What is your motivation to make a change now? (Examples: upcoming vacation, increased confidence, lack of program structure)
Your answer
On a scale of 1-6 (6 being the highest), how committed are you to achieving your dream physique?
1
2
3
4
5
6
Clear selection
On a scale of 1-6 (6 being highest), how would you rate your resilience level? (How do you respond when things get hard or you hit a plateau?)
1
2
3
4
5
6
Clear selection
Are you ready to invest both financially and emotionally into achieving your fitness goals?
Yes
No
Clear selection
What is your age?
Under 18
18-24
25-30
30+
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What is your contact info? Please provide: 1) Name (first and last) 2. Email address 3. Phone number
Your answer
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