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Semper Stronger Fitness Coaching
Application for Semper Stronger 1:1 Strength Training, Nutrition, Habit Change, & Lifestyle Coaching
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First Name
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Your answer
Last Name
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Your answer
Email Address
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Your answer
Phone Number
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Instagram Handle / Facebook Name
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Your answer
Gender
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Male
Female
Date of Birth
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MM
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DD
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YYYY
List any current or past injuries, surgeries, and/or medical limitations. If none, write "none."
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What is the #1 struggle you are facing in regard to improving your health, fitness, nutrition, strength, or overall well-being?
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Your answer
What strategies, if any, have you tried in the past that have not worked?
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Your answer
What is your primary goal related to health, fitness, nutrition, strength, mindset, or overall well-being?
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Your answer
What does success look like to you? Six months from now, how do you envision yourself?
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Your answer
How much are you willing to invest in order to achieve your strength, fitness, and wellness goals?
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$200-$349/month
$350-$499/month
$500-$649/month
$650+/month
Which best describes you?
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Fitness Professional
Fitness Enthusiast
Fitness Beginner (looking to learn & improve)
Not a professional nor enthusiast, but have tried several strategies with little or no success.
I dislike exercise but know I need to do it.
If you were a superhero, what would your superpower be?
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Your answer
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