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(2) 1:1 Online Coaching Application (Jake Parker Coaching Services)
Help me find out a little more about you by filling out this form! I look forward to getting back to you within 2-3 working days to follow up.
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Full name
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Your answer
E-mail address
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Your answer
Phone number
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Your answer
What are your top 2-3 goals?
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Your answer
Why are those goals important to you?
Your answer
What obstacles stand in the way of achieving your goals?
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Unclear on how to address them
Short on time
Unmotivated
Inconsistent
Other:
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When you fail, what thoughts or phrases run through your head?
Your answer
What have you tried in the past that did or didn't work for you?
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Your answer
When in your life have you felt the best about your body/health? Is there any personal records you've kept track of? (Lowest body fat %, the time period where you could see your abs or when your clothes fit best, highest lifts, etc?)
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Your answer
What do you consider your weak points or points of emphasis?
Your answer
What do you consider your strong points or things you're already happy with?
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What type of coaching do you need?
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Training & Nutrition
Training ONLY
Nutrition ONLY
Not sure
Fast forward 6 months from now, what is different about your life?
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Your answer
Okay, that was a lot of serious questions! Tell me one thing you love to nerd out on (favorite hobby, Netflix show, sports team?) For me it's stand up comedy and Lebron James. :)
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