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New Online Training Client Intake Form
Let's start with the basics.
What is your first name?
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What is your last name?
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What is your email address?
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What is your phone number?
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What is your instagram handle?
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What is your gender?
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What is your gender?
A
Male
B
Female
When is your birthday?
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Let's dive deeper.
What are you wanting support with right now?
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What are you wanting support with right now?
Building a consistent routine
Weight loss or fat loss
Building strength & muscle
Nutrition guidance
Confidence & mindset
Feel better
Have more energy
Tell me a little about where you’re at right now. How are you feeling in your body, mind, or lifestyle?
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What’s been holding you back from reaching your goals?
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Why is now the right time for you to make a change?
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If we were to work together, what would success look like for you 3 months from now?
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On a scale of 1–10, how ready are you to invest time, energy, and finances into coaching if it’s the right fit?
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On a scale of 1–10, how ready are you to invest time, energy, and finances into coaching if it’s the right fit?
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1
2
3
4
5
6
7
8
9
10
Is there anything else you'd like to share with me before we chat?
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Book your call
Look at the calendar below and book a call at a time that works best for you. Looking forward to chatting with you!
Agree and Submit
