Page 1 of 2

1-on-1 Fitness Coaching with Blake

What is your first and last name?

How old are you?

What is your current occupation?

How much training experience do you have?

A
B
C
D
E

What type of training have you primarily done?

What is your primary goal over the next 3 months?

How serious are you about accomplishing this goal in the next 3 months?

A
B
C
D

If we were to work together and you fully committed, what would the ideal outcome look like for you?

If accepted, are you willing and financially able to invest in high-level coaching to transform your health?

A
B
C

How much are you comfortable investing in 1 on 1 coaching each month?

A
B
C
D

What is your instagram handle?

What is your phone number?

What is your email?