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.

Can’t wait to hear from you!

Justin

** These questions are for my purposes only and will never be shared.**
Email address *
ABOUT YOU
First and Last Name *
Age *
Gender you identify most with *
Telephone # (best number to reach you at) *
What is your occupation? *
COACHING OPTIONS
What type of coaching are you interested in? *
Required
Are you interested in online or in-person coaching?
Clear selection
Have you ever had a personal coach before? *
YOUR GOALS
What would you like to achieve in the next 12 weeks? *
What would you like to achieve in the next year? *
What's your biggest struggle when it comes to achieving your goals? (Or what's preventing you from already having achieved your goals?) *
Why now? What's motivated you to seek out coaching? *
TRAINING AND EXERCISE
Are you currently exercising?
Clear selection
What does your training currently consist of? (Crossfit, running, strength training, walking, yoga, etc...) *
Please list any current and past injuries or areas you have pain *
Required
NUTRITION
Are you willing to work on nutrition "basics" and "fundamentals?"
Clear selection
Are you willing to track your calories and macro's if needed? *
What do you struggle most with (select any and all that apply)
COMMITMENT
How much are you willing to invest in yourself and your health on a monthly basis? *
Are you 100% committed and serious about achieving your fitness goals? (coaching only works if you are)
Clear selection
Is there anyone else that may be involved in your decision to hire a coach or stick to a fitness program? *
What is your biggest concern or worry about hiring a personal coach? *
FOR SHITS AND GIGGLES
What are you currently reading or watching? *
Did you cry during the first scene of the movie "Up" or are you a liar *
You can only live with one of these. What do you choose? *
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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