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Workout with Jilly Group Coaching Application
Please take a few minutes to fill out the application so I can gain a better understanding of why you decided to pursue a journey to a healthier you.
There are limited spots available, but this application will give you a spot on my wait list. You will receive an email to confirm your position if your goals line up with my skill set.
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What is your first and last name?
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Your answer
What is your email address?
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Your answer
What is your phone number?
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Your answer
How did you hear about Group Coaching (Instagram, Facebook, Referral, Other)?
Your answer
What is your Instagram handle?
Your answer
What is your age?
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Your answer
What kind of career do you have? Is your work sitting/standing?
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Your answer
Do you exercise regularly?
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I currently exercise regularly
I used to workout regularly
I do not workout regularly
Rate your experience level with exercise:
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True Beginner
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2
3
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5
Advanced
The Group Coaching Program consists of 6 workouts per week. Is this something that you will be able to maintain and commit too?
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Yes, for sure!
Not right now
The Group Coaching Package consists of bi-weekly check-ins with me to make your health and fitness goals a priority. Is this something that you will be able to maintain and commit too?
Yes, for sure
Not right now
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What are your top 3 goals relating to fitness and health that you want to achieve in the next 3 months with my Group Coaching program? Dig deep and be specific, there is no wrong answer here.
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Your answer
Describe to me what your typical day of eating looks like: (please include snacks, coffee, water, other drinks, etc.)
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Your answer
Do you track macros / are you familiar with them? What is your relationship with food?
Your answer
What are you currently struggling with (low energy levels, lack of motivation, lack of training knowledge, lack of nutrition knowledge, commitment, consistency, body image, food restrictions, anxiety/stress, food allergies, etc.) ?
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Your answer
Do you have access to the following Equipment (dumbbells, bench/box/sturdy chair, mini glute band)?
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Your answer
Do you have any existing injuries or conditions that I should be aware of while building your training plan?
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Your answer
Do you have a smartphone that has access to the Apple or Google Play App store?
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Yes
No
My Group Coaching Program is $379 for 6 weeks. If we both feel like a good fit for each other and it is an absolute yes to work together, are you able to put down the financial investment required to hire a coach and get started on this program?
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Absolutely!
Not right now
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