1-on-1 Online Coaching Application
Hi! I assume you have come to this application because you are looking for help with creating a balanced, healthy lifestyle and getting results that LAST! Please answer each question open and honestly! You will receive a follow up email whether or not I feel as though you would be a good fit for my 1-on-1 coaching! Let's get started!
What is your first and last name?
First Name
Last Name
How old are you?
Where are you from?
What is your email address?
example@example.com
What prompted you to take this step to improve your lifestyle?
What are some obstacles you may encounter that would get in the way of you achieving your goals?
On a scale of 1-10, how committed are you currently?
1
2
3
4
5
6
7
8
9
10
Worst
Best
1 is Worst, 10 is Best
If you aren't a 10, what is keeping you from being a 10?
What does your current fitness routine look like? (how many days, types of workouts, workout split etc.)
How long have you been training?
Do you have gym access? If not, what equipment do you have at home?
What does your current nutrition look like? Are you currently following any diets? Take me through a typical day of eating!
Have you ever worked with a coach before? If so, tell me about that experience!
What are some qualities of your ideal coach?
What is your ultimate fitness/non-fitness goal(s) and how are you going to achieve it/them?
Tell me about yourself! What does a typical day look like for you? (school, significant other, kids, work, etc.)
Do you understand that there is no skinny tea, magic pill, cleanse or wrap that will get you to where you want to be?
Do you understand that reaching your goals will take hard work, patience, time and consistency?
Is there anyone else besides yourself involved in this decision to pursue an online coach?
Yes
No
If you answered yes to the above, who?
Are you ready to reach your goals sustainably and build long-term healthy habits?
Are you able and ready to invest in your health and your overall well-being?
Yes, 100%! I am ready! I see the value in investing in myself.
I am unsure. I'd like to chat more.
No, I am unable to invest in myself currently but hopefully in the future.
What do you think will happen if you do not decide to invest in yourself right now?
Lastly... very important... dogs or cats? ;)
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