N E Time Fitness 1:1 Coaching Application

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Full Name?

Phone Number? *

Best email for you? *

What are your current Health + Fitness goals?
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Lose Weight / Bodyfat

Build Muscle / Get Toned

Improve Long-Term Health / Well-being

Gain Knowledge On Nutrtion/Exercise

Other:

What struggles have you experienced that have slowed down your fitness journey?
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What have you tried in the past to reach your goal?
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HOW do you want to look and feel in the next 8-12 months? (fill in the blank) (Confident, Energetic, etc?)

On a scale of 1-5, how ready are you to reach these goals? (1 being "not ready at all" and 5 being "I need to make this change now")

Are you to invest financially in your long-term health & fitness goals?

YES! I am willing to make the investment to reach my goals with both accountability and structure from a coach. This is a serious, long-term change for me to reclaim my health and happiness.

I am unsure if I can financially invest but am happy to work with you on program / payment options so I can make a decision by the end of our call

I am not financially stable to invest in myself or in my goals / it's not a huge priority right now.

Other:

If you do feel like we can help you get to your goal, would you be able to work with us on different financial options so we can make this vision come to life for you?
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Yes! That would be helpful

I don't think so :(

Would this be a joint decision between you and your partner? If so, we'd love it if they could hop on the call as well!
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Yes they play a role in the decision

No, this is 100% my decision

Be sure to be in a place where you're fully present and good internet/wifi. And NO driving please!! Sound fair enough?
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Yes, of course

I can't guarantee anything

Do you give consent to have your Consultation Call recorded for Quality and Training purposes?
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Yes

Where or who did you receive this application form?
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