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10-Minute Coaching Call Application

The purpose of this application is to help me better understand what you need to take your HEALTH & FITNESS to the next level and beyond! Please BE HONEST!
Name*
Email*
Phone*
Your Facebook Profile name and/or Instagram name?*

How long have you known me for?*
- Less than 3 months
- Less than 6 months
- More than 6 months but less than a year
- Over a year
How did you hear about me/find me?!*
Occupation*
Age & Current Weight*
Do you feel like you need help?*
- Yes
- No
- Not Sure

What is your goal? Lose 20 lbs? Gain 20 lbs of muscle? Overcome depression? Be specific. Doesn't just have to be a physical goal.*
What would be the most important criteria for your success as we work together?*
What have you tried in the past and why hasn't it worked for you? What's stopping you from hitting your goal?*

On a scale of 1-10... 1 being I'm satisfied where I am and 10 being I'll do anything to reach my goal. What number are you...how committed are you to reach your goals?*
Are you willing to use a credit card, paypal credit, or loan if you feel it's what you need?*
Does your spouse or significant other support you? (Meaning they will give you a thumbs up on whatever you decide)*
- Yes
- No
- Not applicable

What would you expect from me as your coach if we decide to work together?*
Space is very limited and I want to make sure this is a good fit, why do you think you would benefit from a call or be a good addition to our mentorship, if invited? *

My programs are about teaching, not just ordering you around!

I provide a massive VALUE! I am not the cheapest, but I solve your issues forever. After the program you should never need another coach or program again, because I'll teach you every last trick in the book pertaining to diet and exercise!
With that said, are you willing to invest financially to reach your goals? (Be ready to move forward on the call IF YOU and me decide you're a good fit for this program. IF you are not a good fit I will let you know and refer you to someone else)*
If accepted how soon are you looking to get started? (if you aren't ready please just wait and schedule when you can. I expect those who feel it's a fit to move forward. Those who don't take actions are 95% more likely to continue to do nothing).*

Do you realize that I'm booking a real time slot with you?*
- Yes
- No
Will you be available to take the call in a quiet, distraction free environment at our agreed upon time?*
- Yes
- No

10-Minute Coaching Call Application