Name
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First Name
Last Name
Age
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Occupation
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Email
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Instagram Handle (Optional)
How did you find us?
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How would you describe your current fitness level?
What does your current workout routine look like (if any)?
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How often do you workout, types of workouts, etc.
What is your experience with exercise/strength training?
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How confident are you with performing exercises on your own?
What are your typical challenges when it comes to staying active or sticking to a fitness routine?
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e.g., lack of time, motivation, knowledge, fear of injury, gym anxiety, confidence in your movements, etc.
Why do you want to start/improve your fitness journey right now? What do you feel is holding you back from achieving your fitness goals?
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What are your primary fitness goals right now?
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Have you ever worked with a fitness coach before?
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Are you willing to invest time and effort in learning proper movement and fitness education?
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Do you struggle with perfectionism or comparing yourself to others when it comes to fitness?
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How would you describe your current relationship with food?
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e.g., do you eat intuitively, follow a specific diet, experience emotional eating, struggle with portion control, etc.
Do you feel confident in making food choices that support your fitness and health goals?
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Yes, sometimes, or no. Please explain.
How much time are you willing/can you realistically dedicate to your fitness each week?
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e.g., 1-3 hours, 4-6 hours, etc.
What do you value most in a coach or fitness program?
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e.g., accountability, motivation, education, education, etc.
How do you prefer to communicate with your coach?
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Messaging, phone/video call
Are you open to receiving feedback and making adjustments to improve your results?
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Why do you think Strength in Unity Coaching (Coach Lex) is the right fit for you?
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Is there anything else you'd like to share about your fitness, journey, goals, or challenges?
Coaching with Strength in Unity starts at $175-225 per month. Are you comfortable making this investment in your fitness and wellness journey?
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Do you understand that coaching requires open communication, effort, and dedication?
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