Online Coaching Application
Please fill out all the forms below to the best of your ability and click then send button when finished. - Josh
Email address
Full Name
Your answer
Email Address
Your answer
Gender
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Age
Your answer
Height
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Weight
Your answer
Approximate Body Fat (if known)
Your answer
How did you find out about the coaching program?
Your answer
Briefly describe your specific, short-term goals (within the next 16 weeks) with regards to your body and health
Your answer
Briefly describe your specific, long-term goals (beyond 16 weeks) with regards to your body and health
Your answer
Have you been diagnosed with any health conditions and/or are you currently taking any medications that I should be away of? If so, please list and explain.
Your answer
If you answers no above, simply type N/A below. If you answered yes, do you have clearance from your physician to participate in a regular exercise program?
Your answer
Are you currently exercising at least three times weekly? If yes, how long have you been consistently doing so?
Your answer
If you answered yes above, simply type N/A below. If you answered no, when was the last time you participated in regular exercise? How long did you participate in the program consistently?
Your answer
How would you rate your current level of fitness?
Briefly explain your current diet below (how much you eat, what you eat/drink)
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Do you have any food allergies or sensitivities? If yes, please explain.
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Why do you want to be part of the Premium Online Coaching program at this time?
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How important do you feel personal mentoring is to achieving your health and fitness goals?
Are you 100% willing to commit your FULL effort to this coaching program over the next 16 weeks?
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Why do you believe that you will be successful at implementing your programming consistently?
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