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Tandem Training Application
If you are serious about working with me and you are ready to take the next step towards a healthier balanced lifestyle, fill out the application below.
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Email
*
Your email
First and last name
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Your answer
Phone number
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Your answer
Address
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Your answer
Gender
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Choose
Male
Female
Age
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Your answer
Height (Feet/Inches)
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Your answer
Weight (Lbs)
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Your answer
Occupation
*
Your answer
What is your main goal at this time?
Fat loss
Muscle gain/definition
Increase strength
Creating a healthy lifestyle & mindset
Other
Clear selection
List 1-2 short term goals (1-6 months)
Your answer
List 1-2 long term goals (6 months - 1 year)
Your answer
How would you feel if you accomplished your goals?
Your answer
Do you currently exercise?
Choose
Yes
No
Once in a while
Briefly explain your eating habits
Your answer
Do you have any experience tracking macros?
Choose
Yes
No
I've heard of it
If you are tracking macros, what are they? (Ex. Grams of protein, carbs, fat, calories). How long have you been in a caloric surplus or deficit? What is your experience with tracking?
Your answer
What are you looking for in a coach? Have you worked with a coach before? If so, how was your experience?
Your answer
Why are you committed to working with me at this time?
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Your answer
Anything I should be aware of?
Your answer
What days have you and your partner discussed will work best for both of you?
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Monday
Tuesday
Wednesday
Thursday
Friday
Required
What times have you and your partner discussed will work best for both of you?
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6am
7am
8am
9am
10am
11am
Other
Required
Add any additional information about your schedules here
Your answer
How did you hear about JessCFit?
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Facebook
Instagram
Google
A friend
Other
Instagram username (optional)
Your answer
Full name of your partner that you will be doing these sessions with?
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Your answer
You understand your partner is also required to fill out this form
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Yes, I and I will forward them the link.
No, I don't want my partner to join me.
Which package are you signing up for?
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1 session ($60.00 per person) (Valid for 30 days)
(Month-month) $50/person/session (Valid for 30 days)
How many sessions would you like per week?
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1x week
2x week
3x week
Other
How many months do you want to sign up for?
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1 month (Builds foundation & preps body for next phase).
2 months (Increases strength & stamina).
3 months (Serious strength increases). (Recommended)
4 months (Continued strength increases & support).
5 months (Continued strength increases & support).
Other
Would you like to add nutritional coaching for $100/month?
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View details here:
https://www.jesscfit.com/nutritional-coaching
Yes
No
How would you like to pay?
*
E-transfer
Credit + (2.9%+$0.30)
Any questions/things to add?
Your answer
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