Body By Buckley Online Coaching Application

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If you are ready to get fit without sacrifice, complete the questions below and I'll be in touch shortly!

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メールアドレス *

First & Last Name *

Where do you live? *

What is your age? *

What is your sex? *

Height *

Weight *

Estimated Body Fat % *

If you had to pick ONE, what is your primary fitness goal? *

Fat Loss (if you want to see ab definition, this is you)

Build Muscle (gain size)

Improve Health (your focus isn't how you look, but rather how you feel)

Tell me about your training history: *

Tell me about your nutrition history: *

Do you have any health issues that I should know about? *

What's your tv show, favorite movie, book or podcast? *

Why did you choose specifically to apply to my coaching? *

On a scale of 1 to 10, how committed are you to making a permanent health change? *

I'm satisfied with where I'm at

I'll do anything to reach my goal

Are you willing to invest $150-$250 per month into achieving your fitness goals? *

Yes

Is there anyone else who would be involved in the decision-making process? *

I look forward to working with you soon!

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