Personal Information:
First Name
Last Name
Email
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Phone
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Why are you applying for coaching right now?
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I need direction with my nutrition and/or training
I have tried everything and nothing seems to work
Things that used to work are no longer working
I feel uncomfortable in my skin
I have no energy and want to feel better
I am having some health issues
I need to reverse diet
I feel like my hormones are off and need some help
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How did you hear about us?
What type of transformation are you interested in?
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Fat loss
Lean muscle
Improved health
Competition prep
Reverse diet
Help with peri/menopause
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Why is it important to you to accomplish this goal in the next 90 days?
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I want to feel more comfortable in my skin
I want to feel more confident when taking pictures
I don't want to keep buying larger sized clothes
I want to have more energy and be present with my kids
I want to create habits I can sustain
I have tried everything and nothing is working, so I need guidance
I think my hormones are down regulated and now nothing is working
I feel like my relationship is impacted because I am so uncomfortable with how I look and feel
My labs are now showing health risks so I need to change
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What struggles have you faced with achieving your goals?
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I have tried all the diets and nothing works.
I feel like there is so much information and I don't know where to start.
I need someone to provide direction and accountability.
I never stay consistent with working out.
I feel intimidated going into the gym.
I struggle with self confidence.
I struggle with nutrition.
I don't have the energy for the gym.
Since my hormones changed nothing is working.
My schedule is so crazy, I don't know how to stick to a plan.
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Rate your interest in coaching from 1-10 (1 -very little, 10-I need this now)
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Are you ready to invest a few hundred dollars each month to achieve the results you are looking for?
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Yes
No
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Is anyone else involved in making the decision to invest in coaching? If so, who?
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