Please answer a few questions so we can get to know you better.
Full Name
*
How did you hear about me?
Referral
Facebook
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Event
LinkedIN
Email/newsletter
Phone
*
Email
*
Address
Date of birth
What are your health/fitness goals? What is you age? Why is this important to you NOW vs any other time?
What effort would you say you are giving right now towards your health/fitness goals
0-25%
25-50%
50-75%
75-100%
Being 100% honest what is stopping you from being where you want to be with your health and fitness? What are your biggest challenges?
If you had the support of a coach, what would that look like for you?
If I'm confident that I can help you get the results you want & I invite you to work with me directly, are you willing & able to invest into your health?
Yes, I am willing and able to invest in my health right now
No, I'm not willing or able to invest in my health right now.
Are you willing to set aside time to connect briefly on zoom and get some clarity on your goals with me?
Yes
No
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