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1:1 Online Coaching Application

Apply for 1:1 Coaching with Dr. John Rusin
This application will help us understand your goals, current situation, and what you're looking to accomplish through personalized coaching.Please answer the questions honestly and in as much detail as you'd like. If we believe we're a good fit, you'll be able to schedule your consultation immediately after submitting your application.

SECTION 1 — YOUR INFORMATION

First Name

Last Name

Email Address

Mobile Phone Number
We may use this number to contact you regarding your consultation.

Age

Where do you currently live?
City, State/Country

Instagram Handle

SECTION 2 — YOUR GOALS

What is the #1 result you want to achieve through 1:1 coaching?

A
B
C
D
E
F
G
H
I

Tell us more about what you want to accomplish.
What would you like your body, performance, and training to look and feel like 6–12 months from now?

Why is achieving this goal important to you right now?
What has made you decide that now is the time to make a change?

SECTION 3 — YOUR CURRENT TRAINING

What does your current training look like?
Tell us about what you're currently doing, how often you're training, and where you train.

How many days per week are you currently training?

A
B
C
D
E

Have you worked with a personal trainer or online coach before?

A
B

SECTION 4 — PAIN, INJURIES & LIMITATIONS

Are you currently dealing with any pain, injury, or physical limitation that affects your training?

A
B
C

SECTION 5 — YOUR LIFESTYLE

How many days per week can you realistically commit to training?

A
B
C
D

How much time can you realistically dedicate to each training session?

A
B
C
D
E

Where will you primarily train?

A
B
C
D
E

What is the biggest obstacle standing between you and achieving your goals right now?

SECTION 6 — COACHING FIT

On a scale of 1–10, how committed are you to achieving your goal?
1 = I'm just exploring my options
10 = I'm ready to make this a major priority

What are you willing to change or commit to in order to achieve your goal?

What are you looking for from a coach that you haven't been able to get on your own?

Why are you interested in working with Dr. John Rusin Coaching specifically?

SECTION 7 — INVESTMENT & READINESS

If we determine during your consultation that 1:1 coaching is the right fit for you, are you prepared to make an investment in yourself?

A
B
C
D

Is anyone else involved in the decision to invest in coaching?

A
B
C

SECTION 8 — FINAL QUESTION

Is there anything else you'd like Dr. Rusin to know about you, your goals, or your situation before your consultation?
This is your opportunity to tell us anything you feel is important that we haven't asked.