Basic Information
Full Name
Phone
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Email
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Date of birth
Time Zone
Time Zone
Goals & Struggles
What is your main goal right now?
What is the biggest thing keeping you stuck right now?
What have you already tried that did not work long-term?
Why are you interested in VIP Coaching specifically instead of a self-led or group option?
Readiness & Commitment
Are you ready to commit to at least 90 days of coaching?
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Are you willing to follow coaching direction consistently before asking to change the plan?
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Are you willing to communicate honestly when you are confused, stuck, or off track?
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On a scale of 1–10, how ready are you to actually follow through right now?
What do you believe needs to be different this time for you to finally make progress?
Expectations
What kind of support are you hoping to get from VIP Coaching?
What does a successful coaching experience look like to you?
Do you understand that VIP Coaching is a coaching service, not medical care, therapy, or unlimited on-demand access?
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Do you understand that VIP Coaching includes a 90-day initial commitment and a 30-day written cancellation notice after that period?
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Health & Fit Screening
Do you currently have any injuries, physical limitations, medical concerns, or schedule issues that may affect your ability to follow a fitness and nutrition coaching plan?
Is there anything else we should know to determine whether VIP is the right fit for you?
FINAL CONFIRMATION
Why do you feel now is the right time for you to do this?
Type your full name below to confirm that your answers are truthful and complete to the best of your knowledge.