D-MoActive Online Fitness Coaching Form

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Please Fill Out the Application Below

Name: First, Last *

Email *

Instagram username *

What is your health/fitness status? *

Beginner

I am somewhat involved in health and fitness, but would like to learn more

I once was active and exercised regularly in the past but I have gotten away from it

I am advanced (workout 5+ times a week, hit plateau, and I am looking to switch up my routine)

What are your goals with health and fitness? ex. (weight loss, weight gain, healthy lifestyle, better nutrition habits) *

What is holding you back from achieving your goals? ex. (discipline, lack of knowledge, lack of inspiration) *

What is your motivation to start now? *

Have you worked with a personal trainer or fitness coach before? *

Yes

Why do you want to work with me? *

To get on the waitlist, you will b required to book a call with Damon to better understand your goals. Please provide your PHONE NUMBER here *

Will you show up to the call with NO distractions? *

YES I'M ALL IN

I am NOT serious about my goals

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