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Discovery Call: Application Form

Your full name

Your email

On a scale of 1–10, how do you feel about your body right now?

1 = getting undressed at a pool is a nightmare
On a scale of 1–10, how do you feel about your body right now?

On a scale of 1–10, what are your energy levels like right now?

1 = can't get out of bed
On a scale of 1–10, what are your energy levels like right now?

Where do you want to take your health & physique?

What's the biggest challenge you're experiencing?

What do you look for in a health coach?

Which describes you best?

Which describes you best?
A
B

Full transparency: I don't take calls with tire kickers. So, if it turns out we're the perfect fit, are you ready to invest in a premium 6-month program?

Full transparency: I don't take calls with tire kickers. So, if it turns out we're the perfect fit, are you ready to invest in a premium 6-month program?
A
B

Finally, what makes you a good client?