Your Weight Loss Coach Application Form
The purpose of this application is to see if you QUALIFY for our personal training coaching program.

Filling out this form by no means you QUALIFY for our coaching OR DOES NOT mean you are obliged to join anything.

Please fill out the application in full to the best of your ability and be as detailed as possible. We tend not to look at short answers as how can I help you if you don't what you want to achieve.

If you qualify, I will send you a text message to book in a phone consultation.

Once we have spoken over the phone and come to a conclusion - if this is not the right fit for you, we will virtually shake hands and go our separate way OR if our coaching program is the right fit for you, we will move you onto the next step and get you started.

Your success is my success.
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Full Name: *
D.O.B: *
Phone Number: *
Email: *
When is the best time and day to call you? *
Where are you located? *
Would you like to be put on a waiting list if there are currently no time slots available? *
Applicants on the waiting list get first priority.
How much weight do you EXACTLY want to lose? And what areas of your body would you like to transform? *
How serious are you in wanting to lose this weight? AND Why NOW? What has changed in your life that has you wanting to lose this weight and start now? *
What weight loss method have you TRIED in the past? *
What are you looking for in a weight loss/personal trainer coach (Please be specific) *
I know working with Peter is by application only, please explain why you would be a great fit to work with him? *
Please fill in the blanks: I am... *
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