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Name

First Name

Last Name

Phone

(###)

###

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Age

Gender

Favorite Movie

Favorite Quote

Current Health Status/Health History

Have you ever worked out before?

Have you ever had a fitness coach before? If so, how was your experience?

Have you ever had an online fitness coach before?

How many days of the week can you commit to training and how many hours per week can you train?

Briefly describe your 3-month goals

In an ideal world, what kind of shape will you be in/what kinds of activities will you be doing in 3 years?

Can you rate your current fitness level on a scale of 1 to 10?

Any nutrition restrictions?

Any favorite foods?

What is your favorite food/meal to treat yourself with?

Any favorite exercises?

What are your favorite things to do for fun?

How did you find out about online coaching?

Why did you choose specifically to apply to my coaching program?

Why do you think that I can specifically help you achieve your goals?

What do you think my coaching can help you achieve?

On a scale of 1 to 10, 1 being “I just want to be horizontal all day and eat chocolate” and 10 being “I’ll eat nothing but fruits, vegetables, and quality protein all day, every day, if that’s what it takes”, how committed are you to achieving your fitness goals?

How much are you willing to invest in yourself/health & fitness?

100-300

301-600

601-1000

Is there anyone else who may be involved in either your decision to hire a coach or your desire to stick with a fitness program?

Onward Health & Fitness LLC

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