WINNERS DIET COACHING APPLICATION
Name
*
First Name
Last Name
E-mail
*
example@example.com
Phone Number
Format: (000) 000-0000.
Age
Height (Ft)
Weight (Lbs)
What's your #1 fitness goal right now?
Why is now the right time to make this change?
What’s held you back from reaching your goal in the past?
If all things were in alignment for you to start today, how committed are you to achieving this goal in the next 90 days?
Still not that serious
Interested, but would like more info
All in. Just need the right coach.
Are you open to receiving direct, honest feedback and being pushed out of your comfort zone?
Yes
No
Coaching with me is for those who take their results seriously. Are you in a place where you can invest time, energy, and finances into your goals right now?
Yes
No
If we’re a fit, are you ready to jump on a 15–20 minute call this week to map out a game plan?
Yes
No
What’s the best way to follow up with you if we decide to move forward?
Email
Text
DM
“I understand this is an application, not a free coaching session, and that Winners Diet coaching is a premium service designed for serious, committed individuals.”
*
I agree
Submit
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