Rock That Fitness 1:1 Health & Fitness Coaching
Application for One on One Health & Fitness Coaching
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First and Last Name *
Contact Info:  EMAIL *
Phone Number *
What is your height, weight and age? *
What do you do for work? How active is your job? *
Have you ever worked with a personal trainer or coach?  Please elaborate. *
Do you take any prescription medications and for what conditions?  Do you have any medical conditions or physical limitations that you need a physician's clearance for exercise? *
What prompted you to request One on One Coaching? *
On a scale of 0 to 10 how confident are you in your ability to reach your goals? *
Zero confidence to reach my goals
I am very confident I will reach my goals!
What are your top 3 health & fitness goals right now? *
Why is it important to you that you reach your health and fitness goals? *
What has held you back from achieving your health & fitness goals? *
On a scale of 1 to 5 (5 being the highest), how ready are you to make a change? *
Is there any other information you would like to share about yourself when it comes to health and fitness?
Tracking food is required for One On One coaching. How do you feel about tracking your food? *
Required
What do you have access to for your workouts/training? *
Required
RTF 1:1 is a high level one on one individualized coaching program for YOU that requires your full commitment in order to make real transformation. Are you ready to make your health & fitness a high priority? *
Is there anyone else involved in the financial decision making in your household? *
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