MBS One on One Coaching Application

Hi, friend! I'm so excited that you're looking into investing in yourself and joining my Mind, Body & Soul 1 on 1 coaching!

Below you'll find an application to join my 1:1 coaching program. While this application doesn't guarantee you a spot, it does open up the conversation with us so we can make sure this will be a right fit for the both of us!

Thank you so much for taking the time to fill this out, I can't wait to learn more about you, and talk to you more about your goals!

Email address *

First & Last Name *

Age *

Height *

Best Email Address *

Instagram Handle? *

Best Phone Number *

When would be the Best Time To Hop on a Phone Call with Yami? *

Morning

Afternoon

Evening

Tell me about YOU. What does your life look like right now? Why do you need & want to work with Yami? *

1 point

What do you do for a living? *

1 point

What are you most focused on right now? *

1 point

Making fitness and wellness a part of my life, not my whole life.

Losing Weight

Finding a routine that I enjoy and can actually sustain.

All Of The Above

Required

What are 1-3 goal's you would like to accomplish in the next 12 weeks? What do you want to change about your Mind, Body & Soul? *

What is keeping you from achieving those goals? *

If we should work together what is your IDEAL outcome? *

Why do you believe that you would be a successful client and be able to execute your program consistently? *

What do you think is holding you back? *

Money

I don't know what I'm doing

Emotions get the best of me

Time

Other:

Have you ever worked with a coach before? If YES, what was your experience? *

What does your current programming/diet look like now? Are you tracking macros/calories? Are you on a specific workout plan? Are you working out at all? *

Rate Your Knowledge of Fitness *

Beginner

Intermidiate

Pro

Rate Your Knowledge of Nutrition *

Beginner

Intermidiate

Pro

I love working with those ready to commit and change. Those that are ready to invest into becoming their best selves. I want a person with a "HECK YEAH" spirit. Do you think you're this kind of person? *

HECK YEAH

At times

I'm scared to invest in myself

If we hop on a call and this is a HECK YES for you, are you willing to financially invest into your health over a course of 3 months to seek the return on investment to feel and look the best you ever have? *

HECK YEAH

Still a little unsure

Other:

I understand that: *

I understand this is a 12 Week Program and I can resign or cancel after 3 months knowing that if I come back pricing and availability could be different.

I understand that Yami will personally answer any and all of my questions via email within 24-48 hours.

I understand if my goals are physique related, I'll be required to send progress photos.

I understand that Yami will tailor my training, programming and nutrition to fit my lifestlye.

I understand that we'll have a bi-weekly group training that will aid in reaching my goals.

I understnad that Yami will ALWAYS have my best interest at heart and is just as committed as I am to reach my goals.

Other:

Required

What are you hoping to acheive by working with Yami? *

And lastly, what's one thing you love about yourself? *

Thank you so much for filling out this application! I look forward to talking about your goals. Please provide a couple days & times THIS week where we can schedule a phone call with Yami. <3 *

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This form was created inside of Yami Mufdi, LLC.

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