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Online Coaching Application
Please Answer ALL The Questions To The Best Of Your Ability
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Email
*
Your email
First & Last Name
*
Your answer
Gender
*
Male
Female
Date of Birth
*
MM
/
DD
/
YYYY
Phone Number
*
Your answer
Do you have or recently had any injuries/ illnesses or are you on any medications?
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Your answer
Do you have gym membership or gym equipment available (dumbbells, barbells, cables)
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Your answer
What's stopping you from reaching your goals? (Please be as detailed as possible, this lets me know how I can help you as an individual)
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Your answer
Are prepared to make a 60 day commitment? (meal prep, daily check-ins, workout 3-4 times per week)
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Your answer
Can you afford to pay 150-200$ upfront for this challenge?
*
Yes
No
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