1:1 Coaching Application 
Congratulations! You're 1 STEP CLOSER to losing weight, toning up & feeling great without having to go on a crazy diet!

Please fill out this application with as much information as possible. You can expect to hear from me with 24 - 48hrs via direct message on Instagram.

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Describe your health and fitness journey up until now?
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How much weight do you want to lose in the next 3-6 months?
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What are 3 game-changer goals you want to achieve during our time together?
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What would achieving these goals mean to you?
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Be honest... what do you think is REALLY stopping you from reaching these goals? (the more specific you are, the faster I'll be able to determine if Coaching is a good fit for you.)
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On a scale of 1-10, how motivated are you to start working on the goals you listed above today?
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What's your first and last name? *
First and last name
What's your Instagram username? (I'll be sending you a DM if your application is accepted)
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What's your email address? *
Would you like to sign up for my email list where I share weight loss, training & nutrition education? *
What's your phone number for future calls? *
Are you a member at Life Time?
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What type of coaching are you looking for? *
What's your occupation? How long have you been doing it? 
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Is there anyone else that needs to be involved in your decision to invest in your health and fitness goals?
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Why do you want to work with Coach Massi specifically?
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Do you have any questions you'd like me to go over with you if we were to get on a discovery together?
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Did someone refer you to this program? Enter their full name/contact info below so they can receive a special thank-you! *
Anything else she should know?
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