JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Consultation Form
Thanks for showing interest in my consultation. Please fill out the following details. It will help me understand you better.
After you submit this form You will get a link to book a call at the confirmation page. Click on the link and choose the date and time for the call
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email
Your Name
*
Your answer
10-Digit Whatsapp number
*
Your answer
Your Age
*
Your answer
What is your current profession?
*
Your answer
What is your yearly income bracket?
*
Under 5lakhs
5-10lakhs
10-20lakhs
20-50lakhs
Over 50lakhs
What is your fitness goal?
*
Your answer
What are your top pains, problems or challenges when it comes to achieving your fitness goal?
*
Your answer
What all have you tried towards your fitness goals earlier?
*
Your answer
Current Body weight
Your answer
Current Body Fat Percentage (
calculate
)
Your answer
What is your height?
Your answer
What is your Exercise preference?
*
At Home Body weight workouts
At Home Body weight workouts along with weights and resistance bands
Going to Gym
Other:
Required
What is your food preference?
*
Purely Vegetarian (just like me)
Vegetairian + Egg
Non-vegetarian
Other:
On a scale of 1-10 How committed are you to your Fitness goals?
1
2
3
4
5
6
7
8
9
10
Clear selection
Are you willing to invest time, effort and money in yourself if the results you are seeking are guaranteed?
*
Definitely Yes
It's likely once I clarify my concerns
I have no time or money for investing in myself
After submitting this form I will give you a one-time-only free consultation of 30 minutes. But I also offer paid online coaching services. Would you be interested in getting coached currently?
*
Yes
Not sure, I need to understand about your services before I can decide
Not right now. I cannot afford to pay for coaching yet.
Are you willing to invest around Rs 5,000 to Rs 50,000 in a solution that will get your desired results fast with the least effort?
*
Definitely Yes
Not Sure till I know more about the solution
I am here only for the free consultation
A copy of your responses will be emailed to the address you provided.
Submit
Page 1 of 1
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
Privacy
Terms
This form was created inside of Adarsh Desai.
Report Abuse
Forms
