Tell me a little about yourself...
Date of Birth
Estimated (include device used)
Can you briefly describe your specific, short-term goals (within the next 12 weeks)?
Are you currently training consistently?
3 days per week
How would you rate your current level of fitness?
Do you have any specific nutritional preferences?
Allergies, intolerances, etc.
Any current or past health issues, injuries, or general strangeness?
More info, the better
Have you ever tried any other online coaching program before?
Why do you want to be part of my Premium online-based coaching program at this time?
Tell me how I can help you the MOST
Are you Ready, Willing & Able to do what it takes for the results of your life?
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