COACHING ENQUIRY FORM

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I OFFER A FREE CONSULTATION TO DISCUSS YOUR GOALS IN MORE DETAIL.

FILL IN THIS SHORT QUESTIONNAIRE AND I WILL BE IN TOUCH.

Your Name

I am

18-24

25-35

35-55

55+

Clear selection

How Can I Help You?

Lose Fat & Build Strength

Tone Up & Maintain Body Weight

Improve Fitness Levels

Guidance & Accountability

All of the above

Other:

What is the number 1 goal you are hoping to achieve from working with me?

What is holding you back from achieving your goals?

Lack of confidence

Overwhelm & not sure where to start

Exercise & Training Knowledge

Lack of Motivation

Nutrition Knowledge & Consistency

All of the above

Other:

Which best describes you?

I already have an exercise routine & feel comfortable in a gym but need more accountability and support

I lack confidence in the gym and need in-person guidance and accountability

Clear selection

If I can help you achieve your goals & improve your knowledge and mindset are you ready and willing to make the investment into yourself?

Yes

Unsure

Clear selection

Do you need permission from anyone else before committing to coaching?

Yes & they support me

No - I am the sole decision maker

Clear selection

If coaching is right for you, how soon are you looking to get started?

Where did you hear about me?

What is it that attracted you to working with me? What makes you feel that we are a good fit?

Is there anything else you'd like to share with me?

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