Coaching Application Survey
I'd like to get to know you a little better, so I know how to help you! Just answer these few questions before we go any further!
Email address *
Name (First and Last)
Your answer
Age
Your answer
Gender
How would you describe your relationship with food?
How is your relationship with exercise?
Do you have any fitness goals, currently?
Your answer
What do you hope to gain from working with me?
Your answer
On a scale of 1 to 5 how ready are you to change? (5 being most ready)
Not ready
So ready! I'll do whatever it takes
How is your body image?
Are there any health issues I should know about?
Your answer
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