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COACHING APPLICATION

First Name *

Last Name *

Email *

Phone *

I Consent to Receive SMS Notifications, Alerts & Occasional Marketing Communication from company. Message frequency varies. Message & data rates may apply.

Age *

18-22

23-30

31-40

40+

Gender *

Female

Male

What is your goal?

On a scale of 1-10, how important is this to you? *

What do you struggle with most when trying to accomplish your goal? *

Nutrition

Workouts

Accountability & Staying Consistent

Feeling overwhelmed & knowing what to do

Other

What made you decide to fill out this application? (select all that apply) *

I'm tired of starting over

A recent setback or wake-up call

I’m frustrated with my lack of progress

I’ve tried doing this on my own and it hasn’t stuck

My health or energy has become a concern

I don’t want to keep pushing this off

I'm not sure, just exploring options

Which best describes your readiness to financially invest in your fitness right now? *

I’m ready to invest now if it’s the right fit

Interested but want to learn more before committing

Budget is a factor for me right now

I'm not in a position to invest right now, just gathering information

If this is the right fit and we can find an option that works for you, how soon are you looking to get started? *

Immediately

Within the next month

1-3 months

I'm not sure

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