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First Name
Last Name
Email
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Phone
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What is your Instagram Handle?
1. How old are you?
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2. What struggles do you feel I can help with?
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Exercise
Nutrition
Mindset/Attitude
Accountability
3. What are you mainly looking from in an online coach?
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Tone up
Put on muscle
Lose weight
Improve lifestyle
4. What is your ultimate goal you want to achieve whilst working together?
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5. Why do you think you have not yet achieved the goals that you have set for yourself?
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6. On a scale of 1-7, how happy are you with your body at the moment? (7 being perfectly happy)
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Not Happy
Very Happy
7. On a scale of 1-7, how happy are you with your current training and nutrition? (7 being perfectly happy)
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Not Happy
Very Happy
8. Which of the below best describes what you're looking for from me as an online coach
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Sustainable results
Improved self-esteem both in and out of the gym
A drastic overhaul of your lifestyle
9. Which of the below best describes your approach to your fitness and nutrition?
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I make excuses for myself and look for easy ways out.
I procrastinate and never commit to change.
I'm impatient - I want quick results and get bored easily
10. I work with people that are serious about changing their life and health. People ready to start ASAP. Is this you?
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Yes
No