Full Name
*
Age
*
Phone
*
Email
*
What is your main fitness goal right now?
*
What is your current training situation?
*
I don't currently train
1-2 x per week
3-4 x per week
5+ x per week
Out of 5, how would you rate the quality of your diet at the moment?
*
1
2
3
4
5
What is the biggest struggle you face that is preventing you from reaching your goal at the moment?
*
What would success look like for you over the next 3-6 months?
*
Have you invested in your fitness before?
*
Gym Membership
Personal Trainer
Online Coach
Training Programme
Not yet - but I am open to it
No
Are you commited to showing up and completing the steps during the challenge?
*
Yes 100%
I'll try but I am busy
Not sure yet
If you see benefit or get results, are you open to hearing about continuing working together following the challenge?
*
Yes - absolutely
Possibly - it depends
No - just here for the free challenge
Do you have the financial resources available to you to consider investment in coaching if it's the right fit?
*
Yes - I can invest
Possibly - It depends
No not right now
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