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Fill out the form below and I’ll personally reach out to see if we’re a good fit to work together.
Full Name
Email
Contact method:
Phone
Telegram
WhatsApp
Your birthdate
Hight & weight
If Accepted Into The Program, What Is / Are Your Ultimate Goals In Working 1:1 With Me? (Please provide as much detail as possible)
On a scale from 1 to 10, how committed are you to achieving this goal?
0
1
2
3
4
5
6
7
8
9
10
What have you tried in the past and why hasn't it worked for you? What has kept you from achieving your goals?
What are your biggest struggles/roadblocks holding you back from seeing results and reaching your goal(s)? (Please go into as much detail as possible).
Which Describes You Best Right Now?
I do not know where to start
I need accountability and guidance
I have started but have reached a plateau
I know what to do but it is taking me too long by myself
Other reason
Do you need your spouse/parent/etc. on the call in order to make a financial decision?
Yes
No
Have you ever hired a coach before? If so, who? What did you like/ dislike about that coaching program?
How did you hear about me?
Social media
Web search
From friends
YouTube
If after learning about the program and are happy with what is included, are fully aware of your finances and budget for the program at this current moment?
(Coaching ranges based on your needs and level of support)
Yes, I know my monthly budget
Not now, but I will look it over before our call
Anything else you think is important for me to know?
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