Work with me
Email address *
Name *
Your answer
Age *
Your answer
Gender
Your answer
What are your pronouns?
Your answer
Phone
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Skype username
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Hogwarts house?
What's your favorite book?
Your answer
Have you worked with a coach before? *
If yes, how was your experience?
Your answer
Have you worked with an online coach before? *
If yes, how was your experience?
Your answer
Any injuries, health issues, or backfired jinxes I should know about? *
Your answer
What is your goal? *
Your answer
How long have you had this goal?
Have you tried to achieve this goal in the past?
If yes, were you successful?
What methods have you tried in the past to achieve your goal?
Your answer
How would you rate your current nutritional habits?
Poor
Fantastic
Are you currently dieting?
Do you have any dietary restrictions? *
Your answer
Favorite foods?
Your answer
Favorite wine/type of wine?
Your answer
How would you rate your current relationship with food?
Are you currently exercising?
If yes, what types of exercise do you do? How often?
Your answer
Do you follow a set program?
Any favorite exercises?
Your answer
If applicable, list your 1 rep maxes for squat, bench, and deadlift.
Your answer
How is your energy?
I can barely keep my eyes open
My friends call me the Energizer bunny
On average, how many hours of sleep do you get per night?
Your answer
Is your sleep restful?
How is your current stress level *
Luna Lovegood is my spirit animal. I take everything in stride
I make Anne Hathaway in The Devil Wears Prada look calm
How would you rate your self confidence? *
I'm pretty sure I was born without that one
I know I'm awesome and no one is raining on my parade
Briefly describe your goals for the next 3 months *
Your answer
What would you like to accomplish by working with me?
Your answer
Why did you choose specifically to apply to my coaching program? *
Your answer
Why do you think that I can specifically help you achieve your goals?
Your answer
When you picture your life a year from now, what does it look like? *
Your answer
How does that image make you feel?
Are you willing to invest $300-600 per month on your health, fitness, and wellness? *
How committed are you to achieving your goals? *
About as willing as Professor Lockhart was to enter the Chamber of Secrets
As committed as Harry was to finding horcruxes
Is there anybody else who may be involved in either your decision to hire a coach or your desire to stick with a program? *
Your answer
Who's your favorite superhero?
Your answer
Anything else you would like me to know?
Your answer
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