JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Coaching Discovery Form
This form is designed to get some basic information to see how I can help you reach your wellness goals
Sign in to Google
to save your progress.
Learn more
* Required
Email
*
Your email
Name
Your answer
Email
Your answer
Phone Number
Your answer
Tell me about your biggest challenge right now and where you would like to have help in reaching your goals?
Your answer
Is there anything else that’s a big struggle or roadblock for you?
Your answer
What are the top 2 or 3 things you would like help with?
Your answer
Why is that important to you?
Your answer
Pick one to expand on: How would it feel for you to reach those goals? What would that allow you to do? What would that be like for you? What would that mean to you?
Your answer
What have you tried in the past?
Your answer
How did that go? or What did you think of that?
Your answer
What are 2 or 3 things you know you could be doing for your health that you are not currently doing?
Your answer
Is there anything else you’d like to share with me?
Your answer
Are you at the point where you really want to make positive changes and are ready to take action?
Your answer
Would you rather meet
Via Zoom
Via Phone
Clear selection
Are you under the care of a doctor right now for any medical condition or taking any prescription medications?
Your answer
How did you find out about Your Time Fitness? Referral, website, Facebook, Instagram, etc.
Your answer
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Privacy Policy
Forms
