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Boz-Wellness Online training for the busy parent
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Email
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Your email
Name
Your answer
Age Range
18-25
26-35
36-45
46-55
56-65
66-75
76+
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Profession
Your answer
How active are you overall (1 being not active, 10 being constantly moving)
1
2
3
4
5
6
7
8
9
10
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Do you have any physical limitations, medical conditions, injury history, or special considerations when it comes to workouts?
Your answer
What steps have I taken towards a health so far? Have you seen any success?
Your answer
Please share any other information about your journey you think I should know?
Your answer
What is your fitness goals in the next 3-6 months?
Your answer
What is your main reason for applying for online coaching?
Accountability
Weight loss
Time restraint
Another reason
All of the Above
Other:
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What would your estimate is your average weight over the last three months?
Your answer
Do you have a gym membership?
Yes
No
Maybe
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If no gym membership, would you be able to get access to adjustable or multiple sets dumbbells? (Size to be determined)
Yes
No
Maybe
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Have you ever worked with a online coach before?
Yes
No
Maybe
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How open are you to trying new things? (10 being most open)
1
2
3
4
5
6
7
8
9
10
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How much would you be willing to spend weekly for a personal fitness coach?
$40-50
$50-75
$75-90
$90-120
$120+
Other:
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When we begin to work together, will you be able to commit at least 3-4 hours a week, for 12 weeks towards your fitness success?
Yes
No
Other:
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Do you understand that if we begin to work together, this will not be a quick fix, and that hard work is ahead?
Yes
No
Maybe
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