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Coaching Contact Request
Hi!! ย Thank you for reaching out! ๐ Please give me some details and I will email you asap....
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First & Last Name
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Your answer
Email
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Your answer
Phone Number (Optional)
Your answer
What's your Instagram/Facebook handle
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Your answer
Tell me a couple things about yourself (Age/Occupation/Gym experience etc...). Just so I can get to know you a little before our first chat?
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Your answer
What is your primary interest for reaching out to me for fitness coaching?
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Loose Weight
Start/Design an Exercise Program
Diet Support
Motivation/Accountability
All the above...
Other:
Required
In order of priority, what 3 fitness goals would you like to achieve in the next 12 months?
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Your answer
Have you ever worked with a Fitness Coach before?
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Yes
No
In a sentence or two, what is motivating you to take the step of working with a fitness coach?
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Your answer
How did you find me?
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Social Media
My Website
Referral
Other:
Required
On a scale of 1-10, how ready are you to start achieving your fitness goals?!?!
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Have reservations...
1
2
3
4
5
6
7
8
9
10
Super committed!!
What Fitness Package are you mostly interested in?
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Lifestyle Fitness Coaching (4-12 week options/Flexible Dieting)
The Starter (4 Weeks)
The Premium (8 Weeks)
The Elite (12 Weeks)
Other:
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