Body By Buckley Online Coaching Application
If you are ready to get fit without sacrifice, complete the questions below and I'll be in touch shortly!
Email address *
First & Last Name *
Where do you live? *
What is your age? *
What is your sex? *
Height *
Weight *
Estimated Body Fat % *
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If you had to pick ONE, what is your primary fitness goal? *
Tell me about your training history: *
Tell me about your nutrition history: *
Do you have any health issues that I should know about? *
What's your tv show, favorite movie, book or podcast? *
Why did you choose specifically to apply to my coaching? *
On a scale of 1 to 10, how committed are you to making a permanent health change? *
I'm satisfied with where I'm at
I'll do anything to reach my goal
Are you willing to invest $150-$250 per month into achieving your fitness goals? *
Is there anyone else who would be involved in the decision-making process? *
I look forward to working with you soon!
A copy of your responses will be emailed to the address you provided.
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