Work with me
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Email *
Name *
Age *
What are your pronouns?
What's your favorite book?
Have you worked with a coach before? *
If yes, how was your experience?
Any injuries or health issues I should know about? *
What is your goal? *
How long have you had this goal?
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Have you tried to achieve this goal in the past?
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If yes, were you successful?
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What methods have you tried in the past to achieve your goal?
Are you currently exercising?
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If yes, what types of exercise do you do? How often?
Do you follow a set program?
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Any favorite exercises?
Any exercises you don’t like?
If applicable, list your 1 rep maxes for squat, bench, and deadlift.
How would you rate your current relationship with food?
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How is your energy?
I can barely keep my eyes open
My friends call me the Energizer bunny
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On average, how many hours of sleep do you get per night?
Is your sleep restful?
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How is your current stress level *
Super chill
Calm? What’s that?
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 *
What would you like to accomplish by working with me?
Why did you choose specifically to apply to my coaching program? *
Why do you think that I can help you achieve your goals?
When you picture your life a year from now, what does it look like? *
How does that image make you feel?
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Are you willing to invest $500-1000 per month on your health, fitness, and wellness? *
How committed are you to achieving your goals? *
Eh. If I get there cool, but it’s not really a priority.
100% Let’s do this!
Is there anybody else who may be involved in either your decision to hire a coach or your desire to stick with a program? *
Who's your favorite superhero?
Anything else you would like me to know?
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