I'm interested in remote coaching
Please fill out the following form as candidly as possible so we can get well acquainted
Email *
Name *
Phone number
How do you prefer to be communicated with? *
How long have you been thinking about training? *
What are your current physical goals? *
Required
Please Explain *
What are your current lifestyle goals? *
Required
Please describe the last time you achieved your lifestyle goals *
Please describe the last time you achieved your physical goals *
What are you looking for from me as a trainer? *
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Please explain *
How many days a week would you ideally like to train? *
How would you rate your CURRENT fitness level? *
I need help
Super(wo)man
What is your GOAL fitness level? *
I need help
Super(wo)man
Have you ever worked with a Personal Trainer before? *
If yes, please describe your experience
Are there any specific exercises that you're uncomfortable performing? *
Are there any exercises that you enjoy performing? *
Do you have of have you had any of the following?
If you ticked any of the previous options please give further detail
How would you rate your confidence in this training experience? *
Meh
Super awesome!
Please explain *
Do you foresee any potential obstacle between you and your goals? *
If yes, please explain
A copy of your responses will be emailed to the address you provided.
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