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Coaching Application Form
Please fill out the below question open and honestly.
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Email
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Your email
What is your first and last name?
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Your answer
What country do you currently reside in?
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Your answer
Please confirm your email address.
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This will be a primary point of contact so please ensure it is noted down correctly and add jess@jessjae.com to your email contacts.
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Your answer
What has prompted you to reach out?
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Your answer
What are your top 3 goals with your health and fitness?
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Your answer
What has stopped you from achieving your health and fitness goals in the past?
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Your answer
On a scale of 1-10, how would you rate your current level of fitness?
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I am not currently doing anything towards my fitness.
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My fitness is at its highest to date.
On a scale of 1-10, how would you rate your current level of nutrition?
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My nutrition is poor.
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I eat healthily every day.
On a scale of 1-10, how would you rate your current level of mindset health?
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I don't do anything towards my mindset health.
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I actively spend time on my mindset health daily.
What are your expectations of the MBF coaching program?
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Your answer
Where would you like to be 3 months from now? What would you like to have achieved?
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Your answer
How much are you willing to invest to achieve your health and fitness goals?
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$500-$1500
$1500-$2500
$2500-$3500
Upwards
On a scale of 1-10 how ready are you to start your coaching sessions?
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Not sure
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