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.

Canโ€™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 training and nutrition coaching? *
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...) *
NUTRITION
Are you willing to work on nutrition basics and fundamentals? *
Are you willing to track your calories and nutrition if needed? (a food scale will be needed) *
COMMITMENT
Are you willing to update weight, measurements, and read short lessons if it helps you achieve your goals? *
Are you 100% committed and serious about achieving your fitness goals? (coaching only works if you are) *
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? *
Do you actually use peanut butter on a sandwich or do you eat it out of the jar with a spoon like everyone else? ๐Ÿ˜ *
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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