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Private coaching questionnaire
Thank you for getting in touch!
The next questions will help me understand your goals and needs, so I can tailor your experience in the best possible way.
I am looking forward to helping you achieve your wellness goals through movement!
* Indicates required question
Full name
*
Your answer
Email
*
Your answer
Age
*
Your answer
Phone number (with prefix)
*
Your answer
Why would you like to work with me?
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Your answer
How many times a week would you like to train?
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1
2
3
Not sure
How would you like to train?
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Online 121 only - from £80 per session
Online 121 + with a personalised plan to be implemented in-between sessions (from £90 per session)
Not sure yet
What time of the day/which days would work best for you? (UK time zone)
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Your answer
Which movement disciplines would you like to explore?
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Yoga
Pilates
Barre
Dance
Body-based stress reduction techniques and nervous system regulation
Pre/postnatal specific training
Not sure yet, would like to chat about this
Other:
What is the greatest outcome you’d like to see from joining this programme?
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Your answer
What is your movement background? Any current or past practice? Any previous 121 coaching experience?
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Your answer
Are you working with any current/ past injuries?
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Your answer
If after the call we agree to work together, when would you like to begin your programme ideally? (approximate date)
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Your answer
From 1 (not important) to 10 (absolutely urgent), how important is it to solve your problem or to achieve your desired movement/wellbeing goals?
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Not important
1
2
3
4
5
6
7
8
9
10
Absolutely urgent
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