Coaching Application with Lindsey Yeom
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First Name *
Last Name *
Email *
Phone Number *
Age *
Gender *
Location (City, State) *
What type of coaching are you applying for? (Check mark all that apply) *
Required
Medical History, Daily Medication, Limitations, etc. *
What are your health and fitness goals (Please be as specific as possible) *
Why do you want to achieve these goals? *
What has stopped you from achieving your goals in the past? *
Have you worked with a trainer before? If YES, how was your experience? *
What is your current exercise and nutrition regiment? (Please be specific) *
Where do you do majority of your workouts/training? *
On a scale of 1 to 10, how READY are you to make changes to your health and fitness behaviors and goals? *
NOT AT ALL
COMPLETELY
On a scale of 1 to 10, how WILLING are you to make changes to your health and fitness behaviors and goals? *
NOT AT ALL
COMPLETELY
How did you hear about me? *
Please allow 24-48 hours for a response. Thank you!
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