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Online Coaching application with Dami
This application form is for me to learn about you, your health goals, and see if I can help you out.
Please only fill out the form if you are serious about becoming the best version of yourself and i'll get back to you ASAP.
* Indicates required question
Email
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Your email
First Name
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Your answer
Last Name
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Your answer
Gender
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Males
Female
Other:
Email
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Your answer
Age
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Your answer
Phone number (with country code)
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Your answer
Instagram username
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Your answer
Address
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Your answer
Height (Please specify in ft/in or CM)
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Your answer
Weight (Please specify in pounds or KG)
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Your answer
What fitness goals are you trying to achieve?
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Muscle gain
Weight loss
Nutrition
Other:
Required
Tell me a bit about yourself so I can get to know you.
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Your answer
The coaching service starts at #150,000/$150 for 3x a week for a Month and may vary depending on the number of training days. Are you able to invest this in for the coaching service?
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Yes, i am aware and able to pay a #150,000/$150 per month
Are you able to invest #20
,000/$20 in for the for a personalized meal plan & guide?
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Yes
No
How long are you looking at working with me for
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1 month
2-3 month
4-6 months
Long term client
How would you characterize your daily level of activity?
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Inactive (Little to no physical activity)
Lightly active (Some movement, but mostly desk or office work)
Moderately active (Regular physical activity or active job)
Very active (Physically demanding job or intense exercise routine)
Extremely active (Highly strenuous physical activity throughout the day)
How many times a week do you want to train? (be realistic with yourself)
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1 time
2 times
3 times
4 times
5 times
6 times
Do you have any experience with calorie counting?
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Yes
No
Do you have any existing medical conditions or injuries I should be aware of?
Type N/A if none
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Your answer
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