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Origi Online Coaching

Ready to start your journey? 💪🏽
Fill in this short application so I can learn more about you, your goals, and how I can help you.

Full name

*

Email address

*

WhatsApp / phone number

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Age

*

What is your main goal?

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A

Lose weight

B

Build muscle

C

Get stronger

D

Improve fitness

E

Build healthier habits

F

Other

Current weight

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Goal weight

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Are you currently training?

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A

Yes

B

No

How many days per week can you realistically train?

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A

1

B

2

C

3

D

4

E

5+

What is your biggest struggle right now?

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A

Nutrition

B

Motivation

C

Consistency

D

Training

E

Accountability

F

I don't know where to start

G

Other

Have you tried losing weight or improving your fitness before? If yes, what made it difficult to stay consistent?

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Why do you want to make a change right now?

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What would you like to achieve through online coaching?

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Are you ready to start?

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A

Yes, I'm ready

B

I want more information first

Disclaimer

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I understand that Origi Online Coaching provides general fitness, lifestyle, habit and accountability coaching and does not replace medical advice or treatment from a qualified healthcare professional.