Nathane Jackson Fitness Inc. Application
Helping golfers reduce pain and hit bombs by becoming stronger, faster and more mobile!
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First Name *
Last Name *
Email *
Gender *
Age *
Estimated Body Fat % (if known)
How did you hear about Nathane Jackson Fitness Inc.? *
What do you prefer? 😄
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Which program(s) are you interested in? Check all that apply. *
If interested in online and/or hybrid training programs, and plan on training from home, please list all the equipment you own.
What is your three-month goal? *
What would a quick "win" look like for you?   *
List any health issues or injuries? (Ex- Diabetes, cardiovascular disease, rotator cuff tear, the yips etc.)
What is your main obstacle holding you back from achieving your health, fitness or golf goals (time, accountability, knowing what to do, haven't bought enough discount golf clubs, etc.) *
For golfers (or other athletes) only: What was your childhood like from age 8 and beyond?
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For golfers only: What is your handicap?
How committed are you to achieving your fitness goals? *
Why do you think I can help you? *
Is there anybody else who may be involved in your decision to hire a coach or stick to a fitness/nutrition program? *
Are you willing to invest between $250-$350/month in online coaching to greatly improve your health and performance? (Prices in CAD) *
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