Justin Miller: Personal Coaching Application
Oh hello there.
Please answer all questions in as much detail as possible and then hit that pretty blue "Submit" button. Once you have filled out the form I will review it and assess whether I can help you achieve your goals. I will then contact you within 2-3 business days to set up a consultation call.
Canβt wait to hear from you!
Justin
** These questions are for my purposes only and will never be shared.**
* Required
Email address
*
Your email
ABOUT YOU
First and Last Name
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Your answer
Age
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Your answer
Gender you identify most with
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Male
Female
Other:
Telephone # (best number to reach you at)
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Your answer
What is your occupation?
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Your answer
COACHING OPTIONS
What type of coaching are you interested in?
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Training and nutrition
Nutrition only
Required
Are you interested in online or in-person training and nutrition coaching?
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Online coaching
In-person
Have you ever had a personal coach before?
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Yes
No
YOUR GOALS
What would you like to achieve in the next 12 weeks?
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Your answer
What would you like to achieve in the next year?
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Your answer
What's your biggest struggle when it comes to achieving your goals? (Or what's preventing you from already having achieved your goals?)
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Your answer
Why now? What's motivated you to seek out coaching?
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Your answer
TRAINING AND EXERCISE
Are you currently exercising?
Yes
No
Clear selection
What does your training currently consist of? (Crossfit, running, strength training, walking, yoga, etc...)
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Your answer
NUTRITION
Are you willing to work on nutrition basics and fundamentals?
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Yes
No
Are you willing to track your calories and nutrition if needed? (a food scale will be needed)
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Yes
No
COMMITMENT
Are you willing to update weight, measurements, and read short lessons if it helps you achieve your goals?
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Yes
No
Are you 100% committed and serious about achieving your fitness goals? (coaching only works if you are)
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Yes, Justin. I'm so committed I'd put a ring on it
No, I'm just kicking tires
Is there anyone else that may be involved in your decision to hire a coach or stick to a fitness program?
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Your answer
What is your biggest concern or worry about hiring a personal coach?
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Your answer
FOR SHITS AND GIGGLES
What are you currently reading or watching?
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Your answer
Do you actually use peanut butter on a sandwich or do you eat it out of the jar with a spoon like everyone else? π
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I'm a unicorn π¦. I actually spread it on sandwich's, crackers, and other things
100% team spoon in the jar. Can't remember the last time I used it any other way
I'm allergic to PB (if this is the case, I feel bad for you. You're really missing out)
You can only live with one of these. What do you choose?
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Chocolate
Cheese
Wine
Netflix
Other:
Congrats. You're all set.
That's it!
You made it - thank you!
If there is anything else that you feel I should know before I review your application to see if we're a fit, go ahead and send it over.
Hit me up at
justin@justinthomasmiller.com
Hope you have a great day, and I'll get back to you within 24-48 hours.
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