Personal Coaching with Remi Haik
Hi Love,

Thank you for taking the time to fill this out.
This can help me know a bit more about you before we jump into a video call.
I will get back to you within 48 hours to discuss potential coaching.
Please note that all information remains 100% confidential between you and I.

Note: by filling out this form, you are consenting to be contacted directly for coaching purposes. Completion of this form is the beginning of the screening process, however it does not guarantee a coaching spot. You will be contacted via the email you enter below if you are selected as a prospective client.

I'm excited to chat with you.
Xx, Remi
Email *
Full Name *
Date of birth: *
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Where do you live? *
What's your occupation? Would you consider it active or more sedentary? *
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How can I help you reach your goals? *
Tell me more about your main goal in this moment: *
How important is your goal to you in this moment? *
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Very important
What do you feel you are currently struggling with the most? *
What do you think has held you back from reaching your goal so far? *
Are you interested in working with me in a 1:1 coaching or in a group coaching? *
Are you willing to invest in yourself to in order to start feeling healthier and confident in your body? *
My coaching (1:1 or group) is around 180€-449€ per month. Is this something you are ready to invest in yourself? *
How did you find out about me? *
Your Email Address *
Your Phone number *
* With filling out this form you're agreeing to further communication via email or phone. *
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