Thank you for taking an interest in Online Coaching. Please fill out this form so that I can get a better understanding of where you currently are and to see if we would be a good fit for working together. Please be as honest as you can.
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Name *
Today's date *
Email address *
Instagram handle (if you have Instagram)
Currently, how often are you purposefully exercising? *
If you do purposefully exercise, what kind of exercise do you do regularly (at least once per week)? Select all that apply. *
What is your goal at the moment? (Check all that apply) *
What are your biggest barriers at the moment? (Check all that apply) *
Thinking a year ahead, what does your life look like in terms of health and fitness? How often are you exercising? What does your nutrition look like? *
What would it mean to you if you were able to achieve this? *
Have you previously worked with an online coach/ personal trainer? If yes, please say why that relationship ended. *
Are you currently in a position where you are willing to invest into your health and improve your overall quality of life? *
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