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Coaching Questionnaire
By filling out this form, you are NOT committing to a program. This form is just to gather more info on what you want and need so I know how to best serve you and can help determine what program would work best for you.
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Name
*
Your answer
Email
*
Your answer
Phone Number (the best # to reach you at for our call)
*
Your answer
What is your #1 health goal right now and what things have you already tried implementing to achieve that goal?
*
Your answer
On a scale from 1-10 how important is it for you to reach your #1 goal? (1 being not important at all and a 10 being very important)
*
1
2
3
4
5
6
7
8
9
10
Why do you think you haven't reached your goal yet? What's getting in your way?
Your answer
If we were chatting 6 months from now, where do you ideally see yourself? *
*
Your answer
When you were in school, did you LOVE group projects or did you prefer doing your own thing?
*
Groups!
Doing my own thing for sure
Along with time and effort, coaching is also a financial investment. Please select which bracket best fits your current budget.
*
$100-300/mo
$300-500/mo
$500+/mo
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