Jamie Wallis-Evans Coaching Application

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Fill out this form to see if we would be a good match to work together!

1. What does your current fitness routine consist of (days per week, exercises you do, etc) *

2. In a year from now, what's your dream body look like? (please be specific, such as weight, body fat percentage, etc) *

3. How much progress towards your fitness goals did you make last month?

4. What roadblocks are slowing you down from attaining your dream body? *

5. Do you have a personal trainer or are following a specific program you found/bought? If so, please tell us what the program is or what your trainer has you do? *

6. How is your fitness progress going? (Most are in one of 3 places) *

*Poorly (zero to little progress)

*Struggling (some progress, but not as fast as you like)

*Successful (good progress, just looking to sustain it)

7. If you could begin making fast progress towards your fitness goals, would you be interested? *

*Yes

*No

*Maybe

8. Could you handle the additional attention you'd get from friends as well as the opposite sex from making such fast progress? *

*Yes

*No

*Maybe

9. What's your name? *

10. What's your email? *

11. Phone Number or Skype Name *

12. What kind of help are you looking for right now? *

*I want a DIY Solution (£) (Money’s very tight and I’d rather learn and do it by myself)

*I want a Done with Me Solution (££) (Do the work myself w/ specific coaching on what to fix)

*I want a Hands On Solution (£££) (Money's not an issue for you. Want 1 on 1 done with you coaching)

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