IAMFITNESS SKYPE CONSULT FORM

Name

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Email

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What are you looking for from I AM FITNESS online coaching?

Fat Loss
Lean muscle gain (toned)
Other:

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What struggles do you feel i can help you with?

Training
Nutrition
Mindset/Attitude

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How much have you invested previously into your healthy, fitness and lifestyle goals?

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What has worked really well for you in the past? Is there anything that hasn't worked so well?

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Why do you think you have not yet achieved the goals that you have set for yourself?

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Which of the below best describes what you are looking for from I AM FITNESS?

Sustainable results
Improved self-esteem both in and out of the gym
To feel like fitness isn't ruling your life
A drastic overhaul of your lifestyle

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Which of the below best describes your approach to your fitness and nutrition - Please be honest

I make excuses for myself and look for easy ways out
I'm impatient. I want quick results and get bored easily

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Please enter your Skype username/ID OR whatsapp contact number

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What time zone are you in? This is so we can easily schedule a call.

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Physical Activity Readiness Questionnaire (PAR-Q)

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Has your doctor ever said that you have a heart condition and that you should only do physical activity recommended by your doctor?

No
Yes

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Do you ever feel pain in your chest when exercising?

No
Yes

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In the past month, have you experienced chest pains when not exercising?

No
Yes

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Do you lose your balance because of dizziness, or do you ever lose consciousness?

No
Yes

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Do you have a bone or joint problem (for example, back, knee or hip) that could be made worse by a change in physical activity?

No
Yes

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Is your doctor currently prescribing drugs for your blood pressure or heart condition?

No
Yes

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Do you know of any other reason why you cannot perform physical activity?

No
Yes

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Pick 2-3 dates and times you can skype/talk on the phone

Only Tuesday 3pm-6pm and Wednesday 3pm-6pm

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Pick 2-3 dates and times you can skype/talk on the phone

Only Tuesday 3pm-6pm and Wednesday 3pm-6pm

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Any questions?

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I confirm that i have read, understood and accepted the terms and conditions outlined in the link below

https://docs.google.com/document/d/1-cKH7X_lteBNWLL86sjk3TGsPnIFQLZ4nFG3RFwvu7k/edit?usp=sharing

I accept the terms and conditions as outlined above

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Your signature (just to make sure you are human) - simply type in your name

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