Client Coaching Application

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Thank you so much for your interest in working with. Please answer the questions below and I'll contact you shortly!

Hey you! Let's get right into it, what's your name? *

What's your email address? *

What is your primary fitness goal? What are your current struggles holding you back from that goal? *

What is your current occupation? Please be specific- I take this into account when creating your program to make sure it will be fit into your lifestyle! *

How would you describe your current fitness level? *

Beginner

Intermediate

Advanced

What type of equipment do you have access to? *

Gym Membership

At Home with minimal equipment

At Home with no equipment

Other:

Required

How often do you exercise? *

Less than 3 days per week

4 days per week

5 days per week

6 or more days per week

How did you hear about me? *

Instagram

Facebook

Client Referral

Friend/Family Referral

Other:

Are you ready to invest in yourself and your goals? *

Yes, I am all in!

Ready, but interested in financing options.

I'm not serious about my fitness goals.

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