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Compound Health: Online Coaching Application

Name

*

Email

*

Age

*

What is your main motivation for seeking out online coaching?

*

Move better

Get stronger

Reduce pain or tightness

Improve nutrition

Lose fat

Build healthier habits

All of the above

What feels like the main thing holding you back right now?

*

A

Consistency

B

Schedule

C

Motivation

D

Work

E

Stress

F

Knowledge

G

Confidence

H

Other (add note at bottom of this form)

How many days per week can you realistically train?

*

1

2

3

4+

What equipment do you have access to?

*

A

Full gym

B

Home gym (minimal equipment)

C

No equipment

Training experience level

*

Beginner

Some experience

Confident