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Apply Here For Coaching

Coaching Questionnaire

Time to get to know you! Please fill out the questionnaire to the best of your ability. 

Filipe will get back to you within 48 hours. 

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Question 1 of 13

Full Name 

Date Of Birth

Email

Phone Number

Preferred Contact Method (Phone, Text, Email)

Question 2 of 13

Why do you want to work with a Health & Fitness Coach?

Question 3 of 13

Which of the following best describes your goal?

A

I want to lose weight and stubborn fat, regain the energy I once had.

B

I want to restore my hormones and understand what my past attempts at "diets" have failed.

C

I want to feel more confident in my skin and regain a healthy relationship with food.

D

I not exactly sure what my specific goals are, but I do know my approach to nutrition, fitness and health isn't working.

E

I have no clue, but I know I need to invest in my health and personal growth.

Question 4 of 13

Any other training and health goals?

Question 5 of 13

What are your current training & nutrition obstacles?

Question 6 of 13

Describe your physical activity in and out of the gym?

Question 7 of 13

Describe a typical day...

Question 8 of 13

Do you currently or have you ever tracked your food intake?

Question 9 of 13

What kinds of programs health or fitness have you invested in to better yourself?

Question 10 of 13

How will working with me impact your life?

Question 11 of 13

Do you have a partner or significant other at home and if so, are they supportive of you potentially investing in your weight loss, health and personal growth?

Question 12 of 13

Are you ready to prioritize your health journey?

Question 13 of 13

Anything else you'd like to share with me?

Confirm and Submit