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The POTS Coach 1-2-1 Coaching Application

Please note: There limited spaces available right now. Please join the waiting list by filling out this form and I will reach out as soon as possible.

Please fill out this form in as much detail as possible.

What health conditions do you have or are suspected to have?

Give rough timings for how long you have suffered with each please.

What is your biggest daily struggle right now? What are your symptoms?

Are you doing any exercise currently? Include steps, cardio, training and anything else!

What is your nutrition like currently?

Please include a normal day of eating.

Are you currently doing anything else to try and improve your health? If so, what? Has anything helped?

Please include details.

What are you hoping to get out of the coaching? What are your biggest goals?

Please include details.

What would it mean to you to achieve this goal?

How would this impact your life?

What is the biggest barrier in your way to reaching your goals currently?

What is the maximum amount that you would be willing to invest into this 1-1 coaching per month, if we decided we would be a good fit?

Please work out the conversion rate for your given currency if you are not from the UK.
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Are you ready to get started straight away, if we decided we would be a good fit?

If not, when?

Are there any questions that you would like to ask?

What is your full name?

Please put your email and phone number below - please include country code.

If possible, please make sure you have WhatsApp downloaded and notifications on.

Where did you first find The POTS Coach?

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