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1-1 Coaching enquiry form
Name
*
Age
*
Email
*
Phone number (with country code)
*
Insta handle
*
Gender
*
A
Male
B
Female
C
Others
Preferred language
*
A
English
B
Tamil
Occupation
*
A
Working
B
Not working
C
Student
Your goal?
*
Do you have any medical condition?
*
Type of plans your enquiring for
*
Type of training
*
A
Gym workout
B
Home workout
Have you worked with a coach before? If yes, how was your experience?
*
Are you ok to pay for coaching & manage your expenses ?
*
A
Yes
B
No
How committed are to make a change?
*
A
Mentally and financially comfortable to do whatever it takes to bring my physique and strength to the next level
B
Interested and financially comfortable. Perhaps I need more information on the process
C
I’m mentally prepared but would like to discuss flexible payment options
How you know about me?
*
Referred by (Optional)
Please review the options that are offered with the coaching program. It varies based on the plan you choose
Submit
