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Coaching Application
What is your name?
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What is your email address?
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What are your primary fitness and wellness goals?
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Weight Loss
Muscle Gain
Improved Flexibility/Mobility
Increased Energy
Mental Health Optimization
Improve Self-Esteem / Confidence
Other
On a scale of 1 to 10, how would you rate your current level of physical activity?
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0
1
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5
6
7
8
9
10
Sedentary, Inactive
Average
Active, All day
On a scale of 1 to 10, how would you rate your current level of mental clarity, mental stability? (feel free to leave no answer if you do not wish to share)
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1
2
3
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5
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10
Needs Work
Average
Strong
Have you previously worked with a fitness/wellness coach or participated in a structured program?
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What motivates you to prioritize your health and fitness?
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Are there any specific challenges or obstacles you anticipate facing on your fitness/wellness journey?
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How would you describe your current diet and nutrition habits?
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Lacking: Inconsistent or unhealthy food choices.
Needs more structure: Could benefit from more planning and organization.
Follow a specific diet plan (please specify) ->
Healthy: Prioritize balanced meals with a variety of nutrients
Conscious of food choices but could improve.
Other
What types of exercise do you prefer?
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Cardiovascular (running, cycling, etc.)
Strength training (weightlifting, kettlebell bodyweight exercises, etc.)
Flexibility and mobility (yoga, mobility drills, stretching, etc.)
Mindfulness (meditation, breathwork, yoga)
Other
What is your preferred method of communication for coaching sessions and check-ins?
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Email
WhatsApp Messenger
WhatsApp Call
Video call (Google Meets, WhatsApp Video, etc.)
In-person meeting (in-person clients, local, exclusive)
Other
What is the timeline you seek to achieve your goals?
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Are you coachable and open to change?
A
Yes
B
No
C
I am willing to learn
Any questions for the coach?
Please be aware that the ONLINE 1-on-1 Coaching services start at $200.00 USD per month.
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A
Yes, I am seeking Online Coaching
B
I am interested in Remote-Live Training
C
I am interested in In-Person Training
Submit Application
