Coston Labs Fitness Client Application

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Fill out this application to see if you are a good fit for my program. Once submitted, myself or someone from my team will reach out to you. I look forward to helping you reach your goals and become the best version of yourself. -G

Email Address: *

Phone Number: *

First Name: *

Last Name: *

Age: *

Are you employed? If so, what is your occupation? *

1. What does your current fitness routine look like? *

Currently working out, just not getting the results I want

I occasionally work out

It's a struggle for me to work out

Other:

Required

2. In the next 90 days what are the results you want to see? Please be specific as possible, such as desired weight, body fat percentage, etc. *

3. What is keeping you from reaching your goal? *

I don't have enough TIME

I don't know where to start

MONEY

Other:

Required

4. Have you ever invested in a Personal Trainer? If so, what where your results?

5. Are you currently on any medications? If so, which ones. *

6. Do you have any injuries? If so, please list them. *

7. What would keep you from financially investing into your health and fitness goals?

I have to speak with my spouse first

I don't have the money, but I still buy things that don't benefit my health

Sign me up! I'm willing to do whatever it takes because I am fired of feeling this way.

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