Virtual Coaching Program
Name *
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Age *
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Gender *
Email Address
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Phone Number *
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Height *
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Weight *
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What's your favorite thing to do on a Saturday afternoon? *
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Any past injuries or joint pain?
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Are you currently doing anything for exercise?
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Have you ever had a coach before?
What days of the week can you exercise and how many hours per week can you exercise?
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Briefly describe your 3-month goals
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Can you rate your current fitness level (1 to 10)?
Why did you choose specifically to apply to my coaching program?
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What do you think my coaching can help you achieve?
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How much are you willing to invest in yourself/your health and fitness?
On a scale of 1-10, 1 being "I just want to sit on the coach and eat bon-bons", and 10 being "'I'll eat bland chicken and broccoli all day, everyday if that's what it takes", how committed are you to achieving your fitness goals?
Is there anyone else who may be involved in either your decision to hire a coach or your desire to stick with a fitness program?
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