Welcome to Elevated Aesthetics!
Thank you for your interest in working with us!
Please only fill out the application if you are serious and want life changing results.
*Note: Only 5-10 spots are available each month to join our program. We believe in providing a high level of quality to our clients, so we must cap the amount of clients that we take on due to the high demand.
This program is not for anyone under the age of 19 without parental consent. As well as anyone that is unemployed or financially unstable.
In order for us to provide you the best information possible, we need to learn more about you and see how we can help.
Full Name
Phone
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Email
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Age?
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What is your current weight?
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What is your height?
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Please provide a brief summary of your current fitness levels?
What specific problem are you facing right now with your fitness goals and what would you like for us to talk about?
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What is the main goal you'd like to achieve when working with us? (please be as specific as possible)
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How willing and able are you to invest in solving your problem right now?
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I have the financial resources and am ready to invest into my fitness goals right now.
I have access to the resources to invest if I needed them.
I don’t have resources to invest.
What type of coaching would you like to be apart of?
I only want face to face coaching
I want online coaching
I don't care as long as I get results
What days do you have available to meet with your trainer?
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Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
What time frame would you like to workout?
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5 am - 8 am
8 am - 12 pm
12 pm - 3 pm
3 pm - 6 pm
Do you have a coach that you would prefer to be coached by?
Addison Allison
Gage Barnes
Chloe Barnes
Choose the best coach for me. I just want results.
Which coach do you prefer to be coached by?
Gage Barnes
Choose the best coach for me. I just want results.
On a scale of 1-10, how serious are you about achieving this goal? (1 = Not Serious 10 = 100% committed)
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1
2
3
4
5
6
7
8
9
10
How did you hear about our services?
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Instagram
Facebook
Friend
Other
Please list where you heard about our services
Which friend referred you to us?
If we are a good fit, how soon can you get started?
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Do you have anyone else ( significant other, etc.) who should be on the call to help you make a decision?
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Yes
No
Who else needs to be involved in helping you move forward?
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Tell us something non-health/fitness related about yourself :)
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