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Personalised Coaching Pre-Screen Questionnaire
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* Indicates required question
Email
*
Your email
Full Name?
Your answer
DOB
MM
/
DD
/
YYYY
Sex
Male
Female
Prefer not to say
Clear selection
What Brings You Here?
*
Mental
Physical
Spiritual
Financial
All Of The Above
Other:
Required
What Are Your Biggest Roadblocks?
Time Poor
Crazy Stress Levels
Poor Diet
Inadequate Training/Movement
Lack Of Sleep
Negative Programming, Thoughts & Behaviors
A Heightened Mind & Body That Doesn't Switch Off
Always Sore or Injured
Poor Motivation & Energy
Bad Habits
Always Find Excuses
Other:
Who Do You Need To Show Up For Every Day?
Myself
Wife/Husband & Kids
Extended Family
Staff
Boss
Clients
Friends
Business Partner
School/University
Other:
Where Have You Sourced Help In The Past?
Courses, Retreats, Training Programmes or Materminds
Coaches or Mentors
YouTube, Books, Podcasts, Internet
Friends & Family
Therapist or Allied Health Professional
Other:
How Would You Rate Your Current Fitness Levels?
Shit
1
2
3
4
5
6
7
8
9
10
All Over It
Clear selection
How Would You Rate Your Current Stress Levels?
Shit
1
2
3
4
5
6
7
8
9
10
All Over It
Clear selection
How Would You Rate Your Ability To Deregulated, Chill Out & Calm Down?
Shit
1
2
3
4
5
6
7
8
9
10
All Over It
Clear selection
How Aware Are You Of What Triggers Your Stress?
Shit
1
2
3
4
5
6
7
8
9
10
All Over It
Clear selection
How Would You Rate Your Current Nutrition Habits?
Shit
1
2
3
4
5
6
7
8
9
10
All Over It
Clear selection
How Would You Rate Your Sleep?
Shit
1
2
3
4
5
6
7
8
9
10
All Over It
Clear selection
Do You Own A Smart Watch?
Yes
No
Ultimately, Who Do You Want The Be At The End Of This Journey?
Your answer
Why Are You Starting This Journey Now?
Your answer
What Type Of Programme Interests You?
Personalised Coaching
One Off Experience
Inner Circle Membership Programme
Master'MIND' Programme
Speaking/Presenting
Other:
ADVICE FROM A2Z STRENGTH IS FOR EDUCATIONAL PURPOSE ONLY, A2Z STRENGTH HAS NO LIABILITY FOR ANY HARM, INJURY OR MISUSE THAT CAN OCCUR. PLEASE SEEK MEDICAL ADVICE BEFORE ENTERING ANY OF A2Z STRENGTH'S PROGRAMMES!
I Agree To These Terms & Conditions
Thank You For Completing This Questionnaire, I will Be In Touch Shortly With The Next Step!
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