1 on 1 Personal Coaching & Nutrition with Coach Sean

First Name *

Last Name *

Phone *

Email *

Age *

Current Weight (lbs) *

Height (ft) *

Location (Country, City) *

Instagram Handle

What are your TOP 1-3 Goals? (Fitness & Nutrition) *

Why Do You Want To Achieve These Goals? *

What Are Your Biggest Struggles / Obstacles Right Now? *

What Program Are You Interested In? *

Transformation (All inclusive - Fitness & Nutrition)

Accountability (Nutrition ONLY)

Training (Fitness Program ONLY)

How Many Days Training Can You Realistically Commit To Per Week? *

1-2 Days

3-4 Days

5 Days+

Do You Track Your Diet/Nutrition? *

Yes Consistently

Yes, But Inconsistent

No, Never

Tried, But Stopped

On A Scale Of 1 to 10 How Committed Are You Towards Your Training/Diet Goals? *

1 being low, 10 being high

What’s Motivating You to Make this Change? *

What Are You Looking For In a Coach or Program?

Anything Else You Want To Let Me Know Before We Start?

By checking this box, I consent to receive non-marketing text messages from CoachSeanXu about 1 on 1 Personal Coaching & Nutrition with Coach Sean . Message frequency varies, message & data rates may apply. Text HELP for assistance, reply STOP to opt out.

By checking this box, I consent to receive marketing and promotional messages including special offers, discounts, new product updates among others.from CoachSeanXu at the phone number provided. Frequency may vary. Message & data rates may apply. Text HELP for assistance, reply STOP to opt out.