1:1 Online Coaching Application
This is where you fill out your info and then we dominate life together. After you submit your response, I'll get back to you within 2-3 working days.
** I'm not a dick, so these responses will never be shared and only viewed by me. **
* Required
Personal Deets
Full Name
*
Your answer
Email Address (careful about mistyping)
*
Your answer
What's your Instagram handle? (i.e., @mattmcleod6)
Your answer
Gender
*
Male
Female
Prefer not to say
Other:
Weight
*
Your answer
Age
*
Your answer
Goals & Obstacles
List 1-2 short-term goals (next 12 weeks)
*
Your answer
What are your biggest obstacles for not reaching these goals right now?
*
Your answer
What happens if you DON'T get into the shape you want? What are the consequences for not reaching these goals?
*
Your answer
How often do you currently lift weights
*
Off and on, not always consistent
1-2 times per week
3-4 times per week
5+ times per week
How many years of experience do you have lifting weights?
*
Choose
One year
Two years
Three years
Four years
Five years +
Which form of coaching do you need?
*
Training ONLY
Nutrition ONLY
Training & Nutrition
Not sure
Other Stuff
How did you hear about me and my coaching?
*
Choose
Instagram
Email
Word of mouth
Twitter
Website
Facebook
Podcast
Other
How long have you been following me?
*
Choose
Just started
less than 1 month
1-3 months
3-12 months
Longer than one year
What's your biggest vice in life? Mine = bourbon on weekends.
Your answer
Please name the person who referred you to my coaching/website (optional, obviously)
Your answer
Anything else you want me to know? (something I want YOU to know: the unicorn is the national animal of Scotland. Yep, look it up.)
Your answer
Are you in a financial position to invest in yourself and your health?
*
Choose
Yes
No
Are you 100% willing to commit your FULL effort to being an online coaching client?
*
Choose
HELL YES.
no.
Submit
Page 1 of 1
Never submit passwords through Google Forms.
This form was created inside of McLeod Consulting Services.
Report Abuse
Forms