First Name
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Last Name
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Email
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Phone
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Instragram
Occupation? (Where do you work? Desk job? Active job? etc.)
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Age?
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If you are under 21, do you have a parent that would be able to financially support you towards investing in your health/fitness if this were to be a good fit for you?
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Yes!
No
N/A I am over 21
No, but I am in a spot financially to invest significantly myself!
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Weight?
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What are your health & fitness goals? Lose 20 lbs? Be happy and healthy? Tone up? Build lean muscle? Overcome depression and anxiety? Manage stress? Be more confident? etc. (Explain in depth)
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Explain to us WHY. What is driving you to make these changes?
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What have you tried in the past and why hasn't it worked for you? What has kept you from achieving your goals?
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On a scale of 1-5, how ready / committed are you to changing your life right now? (1 being "not ready at all" and 5 being "I'll do anything to change my life")
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1- I could put this off for awhile
2
3
4
5- I want this change now!
If we are able to come up with a plan that you feel would help you reach your goals, are you willing to give up some unnecessary expenses above so you can invest into your health?
Yes! I am ready to make some changes so I can reach my goals
No, I'm not willing to invest into my health and future
Space is very limited and I want to make sure this is a good fit, why do you think you would be a good addition to our team, if invited?
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NEXT STEPS.... I will review your application and IF I feel like I can truly help you out would you be open to setting up a zoom call so we can run you through the details of how our coaching program works?
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Yes plz! I am READY to make a change
No thanks, I don't want 1:1 help I can do it on my own.
COMPLETE
