Online Coaching Application -

Full Name *
Email Address *
Phone Number *
Location *
Occupation
What made you reach out today? *
What are your top 1 – 2 health and fitness goals right now? *
What do you think has held you back from reaching them on your own? *
Eg, mindset, time, knowledge, accountability, injury, etc.
What have you tried in the past that didn’t work? *
Why is now the right time to make a change? *
What would success look like for you in 6–12 months? *
On a scale of 1–10, how committed are you? *1= Not Committed, 10 = 100% All In
How much support, accountability, and guidance do you feel you need? *
How many days per week can you realistically commit to training? *
Are you prepared to follow a personalised plan and check in weekly? *
Why is this important to you now — why not wait 6 months? *
Where do you see yourself in 6 months if nothing changes? *
On a scale of 1–10, how ready are you to invest in expert coaching to solve this? 1 = not ready, 10 = let’s go!
If we’re a good fit and I can help, are you ready to start now?
Why should I choose to work with you? *
I only take on a small number of clients at a time so I can give each one personal support. If we’re a good fit, I’ll invite you onto a quick call to talk through your plan and how we can work together.
I understand that coaching is a premium service and that if I’m accepted, I’ll be expected to take action and commit to the process. *
I understand
Where did you hear about this service?
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