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Jesus’ Coaching Application
Hi, thank you so much for taking the time to look into my coaching program.
Fill out the application below if you'd like to get started.
All eligible applications will be contacted by phone.
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Email
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Your email
First and Last Name
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Your answer
If you qualify, what is the best number to reach you at?
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Your answer
Select your gender
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Male
Femaile
Other:
Age
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Your answer
Weight
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Your answer
Give me a brief health history.
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Your answer
What do you do for a living?
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Your answer
What is your fitness goal (In 3 sentences or less)
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Your answer
What do you feel is your biggest obstacle? (In 3 sentences or less)
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Your answer
What kind of assistance would you be looking for to help you achieve your fitness goals (In 3 sentences or less)
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Your answer
How did you hear about my programs?
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Your answer
What do you think I can help you achieve?
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Your answer
On a scale of 1-10, how badly do you want to get results?
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Not so much
1
2
3
4
5
6
7
8
9
10
I'll do anything!
Are you willing to get started TODAY?
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Send me a copy of my responses.
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