Charlie’s Online Coaching & PT Application Form
Thanks for taking the time to fill out my application form!

Please answer the following questions to the best of your ability.

From there, I'll be back with an application response video going over your application, specifically your goals and how I can help you achieve them! 

If you have any questions or concerns don't be afraid to contact me through social media or by email via charles.cuthberttt@gmail.com

I look forward to hearing from you and granted we're a good fit, helping you work towards your goals! 
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What is your email address? *
What is your full name?
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What age are you?
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What is your current weight and height?
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What's your short, medium and long term goals?
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What do you struggle with the most when trying to reach your goals?
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What's your current approach to training? Please include your amount of sets, how frequent you train, training effort and your current training program. 
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Please list your current and past injuries.
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Please provide detailed information on your current nutrition including what you usually eat, how frequently you eat, when you eat and lastly your calorie and macro intake if known.
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Do you currently or have you previously had an online coach or personal trainer? If so, please state the pros and cons of the service.
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Please list your current activity levels. This includes daily steps, cardio and any additional activity.
What's your current occupation/job role?
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What are your current stress levels?
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What's your sleep like? Please state the length, and quality of sleep and what you usually do before bed to unwind.
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Where did you hear about my service?
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What service of mine are you interested in? *
Do you have any relevant information or questions not covered in the form?
Thanks for taking the time to fill out this application form, I'll be back to you with a response as soon as possible! 
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