Tell Me About Yourself

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Tell Me About Yourself

Welcome to a pivotal step in your health and wellness journey. I'm Coach Tiffany, and this application form is the beginning of our potential partnership. Filling out this form isn't a commitment to coaching; it's an opportunity for both of us to explore if we're a good fit. Your answers will help me understand your goals and challenges, ensuring I can offer the support you need.

After reviewing your application, we can discuss the next steps, which may include scheduling a Future Self Strategy Session. This initial session will be our chance to delve deeper into your aspirations and how I can help you achieve them.

- Coach Tiffany

By providing your email, you'll also subscribe to my newsletter for valuable tips and updates. Don't worry, you can unsubscribe at any time if it's not for you

Email *

First and Last Name *

Phone Number *

Age *

What kind of work do you do? *

Please list your top 3 health & fitness goals in order of importance. *

What is the biggest challenge keeping you from reaching your health & fitness goals? *

Time constraints

Uncertainty about effective methods

Lack of energy

Motivation and consistency issues

Nutritional challenges

Difficulty balancing work and personal life

Limited access to resources or facilities

Physical limitations or health concerns

Emotional or stress-related barriers

Stress/Emotional Eating

Other:

Required

Have you worked with a coach or trainer before? *

Yes

If yes, what did you like most about it?

If yes, what did you like least about it?

Do you have any health conditions, joint issues, or chronic disease? *

Are you a dog lover or crazy cat person? *

Cats rule, dogs drool

Dogs are a girls (or guys) best friend

My dog and cat are the best buddies!

I don't do fur, thanks!

How ready are you to work on your health goals right now? *

1- Not at all.

5 - Let's DO this!

How willing are you to work on your health goals right now? *

1 - Not willing at all

5 - I'm dying to do it!

How able are you to work on your health goals right now? *

1- Can't do it at all

5 - 100% confident I can do it!

On a scale of 1-5, how would you rate the level of support from your spouse, partner, and/or family members (if applicable) when it comes to investing in your health and wanting to make positive changes? *

1 - No support whatsoever

3 -They are somewhat supportive, but might have concerns about the investment (time, financial, etc) and/or might be worried how the changes I potentially might make will impact our relationship or lifestyle.

5 -They 100% support me and my decision to take back control of my health and well being, whatever way I decide will be most helpful.

How much are you willing to invest in a program that will help you get stronger, lose body fat, and gain the confidence and freedom you want to live each day without worrying about your bodyweight or energy levels getting in the way? *

Less than $500

$1000-$2500

$3000-$4000

I'm not quite sure yet, but would like to learn more.

Do you have any questions for me? Or is there anything else you feel would be helpful for me to know about you? *

Submit

Clear form

Never submit passwords through Google Forms.

This form was created inside of TRH Fitness. Report Abuse

Forms