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Fit with Holly Online Coaching Application Form
Upon Submission, I will review your application and get back to you within 72 hours if I think we are a good fit, with next steps included. Submission does not guarantee a coaching spot :-)
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* Indicates required question
Email
*
Your email
Gender
Male
Female
Clear selection
What do you struggle with most when it comes to your body/physique goals?
*
Feeling comfortable in my own skin
Other people's perception of me
Low energy
What have you tried in the past that hasn't worked?
*
Weight Watchers
Jenny Craig
Food tracking
Have used a coach in the past
Do your currently exercise?
*
yes
no
How often do you exercise?
*
1-2x/week
3-4x/week
5 or more x/week
Other:
What is your top reason for hiring a coach?
*
Accountabiity
Support
General direction
Specific and detailed feedback to help me reach my goals ( I have a deadline)
Other:
What do you want to accomplish in the next month?
*
Your answer
What do you want to accomplish in the next 3-6 months?
*
Your answer
How many days can you dedicate to working out?
*
2-3 days
4-5 days
6-7 days
Do you know your daily calorie intake?
*
Yes
No
Sometimes, but I rarely track
Other:
What is your current level of commitment (scale of 1-10)
*
less than a 5
6 0r 7
Maybe an 8
10 plus!
Required
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