Coaching Enquiry
Hello! It's Dale (The DoTheWork Coach) here.

Thank you for showing interest in working with me as your coach. I am a WEIGHT LOSS SPECIALIST.

"I help people lose weight and take back their self-confidence"

In order for me to better understand your wants, needs and current situation. I require you to first complete this form. It should take you at least 10 minutes to complete and I would ask that you only complete this if you are serious about making change in your life and working with me.

Well done for taking the step to get here, this is the first step towards your incredible results...

It's time to DoTheWork!
Sign in to Google to save your progress. Learn more
Here are some of the results you can expect to get by working with me. All inside 12 weeks (some less).
Which service are you enquiring for? *
Name *
Mobile Number *
Email Address *
DOB *
MM
/
DD
/
YYYY
Gender *
Occupation
What prompted your enquiry with me? *
How long have you been regularly exercising? *
How confident are you in the gym on your own? *
Low
High
Typical exercise for you is? (typical would be 75% or more - any less would be a mix) *
Have you ever followed a structured plan? *
How would you rate your knowledge of nutrition?
Low
High
Clear selection
Which one of these is most important to you right now? *
Why is this so important to you? (please be as detailed as possible) *
What are your biggest struggles right now? *
How many times have you tried and failed at this?
Clear selection
How does your current situation make you feel? (tick as many that apply and use other to add any more) *
Required
How do you want to feel? *
Have you had a coach before?
Clear selection
On a scale of 1-10 how important is it that you achieve this goal?
Not important
This has to change now!
Clear selection
Have you got the time to complete at least 3 structured training sessions per week to get the results you say you want?
Clear selection
Are you in a position to invest between £4-£8 per day to get guaranteed results and finally feel how you want to?
Clear selection
Thank you for completing this enquiry form. The next step is to book your discovery call with me where we will map out a plan and see if my coaching will be the right fit for you. Click this link to book your call with me - https://calendly.com/dotheworkcoach/discovery-call -                                         In the meantime here are some of the results you can expect to get by working with me. All inside 12 weeks (some less).
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of DaleWallacePT. Report Abuse
Google Forms