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VRSTY 1:1 Coaching Application
Thank you for your interest in working with me! Since 2015 I've specialized in helping busy professionals shed body fat and build muscle
without sacrificing the foods they love. I would love nothing more than to help you do the same! I take only a handful of new clients per month.
Please c
omplete this 5-minute application and I’ll personally respond back within 24 hours. - Coach Jared
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First and Last name
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Your answer
Email
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Your answer
Phone number
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Your answer
Date of Birth
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MM
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DD
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Tell me more about yourself (i.e. occupation, location, family, interests).
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Your answer
What are your goals? Pick 2-3 things that you would like to improve/change and please explain why!
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Your answer
What do you think you need most in order to achieve your goals?
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Your answer
Where are you struggling most currently?
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Your answer
What are the top 1-2 things you do on a monthly basis that negatively impact your health and fitness goals?
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Your answer
How much do those 1-2 things cost you financially on a monthly basis?
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Your answer
What does your current exercise & nutrition look like?
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I have been training and eating healthy consistently for some time now.
I have been training, but I need more help with my nutrition.
My nutrition is on point, but I need more help with my training.
I am sedentary and I also need help with my nutrition.
Right now, do you have any specific health concerns or limitations?
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Your answer
If you are accepted, how soon would you want to get started?
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Immediately
Within a month from now
Over a month from now
If this turns out to be exactly what you need, are you in a place in your life where you are able to make the financial & time investment and commit for at least 6 months to becoming the best version of yourself, physically and mentally?
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Yes, I am ready!
No, I can't commit right now.
Anything else you would like us to know when reviewing your application?
Your answer
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