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Apply for Super Duper Coaching
This is the application form to get on the waiting list for my 1:1 Super Duper coaching service. Once you complete the application I will get back to you via email in regards to the availability and waiting timeframe.
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* Indicates required question
Name
*
Your answer
Email
*
Your answer
Age
*
Your answer
Worked with a coach before?
*
Yes
No
How committed are you?
*
Not at all, need constant supervision and motivation
Very little and I need guidance
I'm committed just need that extra small help
Very committed and don't really need any guidance
For how long do you think you need coaching?
*
30 days
3 months
3-6 months
As long as it takes!
Biggest struggle right now
*
Your answer
Current goal
*
Your answer
What does your diet look like?
*
Vegan
Vegetarian
Pescatarian
I eat everything
Other:
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