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Coaching Application
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Your Name
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Your answer
Email address
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Your answer
Phone number
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Your answer
Instagram handle
Your answer
City and State you live
Your answer
Your age
Your answer
Your sex
Female
Male
Non-binary
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What type of work do you do?
Your answer
Tell me about your activity and movement habits. How often do you exercise? What type of exercise do you do?
Your answer
Tell me about your health and fitness goals.
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Your answer
What gets in the way of achieving those goals?
Your answer
What have you tried that didn't work?
Your answer
Why are you interested in nutrition/health coaching?
Your answer
What makes now a good time to get a nutrition/health coach?
Your answer
Have you ever invested in health coaching in the past? Tell me about your experience?
Your answer
This is a transformative nutrition program which is both a mental and physical process. . How willing and able are you to make a investment in yourself to achieve the results you seek?
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Yes, I have the financial means to invest and am committed
I can find the financial means to invest
No, I do not have the financial means to invest at this time
If you are accepted, how soon can you get started?
Your answer
Finally, what makes you a good fit for this program?
Your answer
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