Rob's one-on-one coaching application

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* 1. Your Name

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* 2. Your email address

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* 3. What city, state and country do you live in? (optional but helps me understand your situation better)

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* 4. How long have you lived in your current city?

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* 5. What is your age?

Under 18

18-24

25-39

40+

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* 6. Which best describes your situation?

I work mostly at a desk

I work mostly on my feet (service, labor, etc.)

I work mostly from home

My main focus is school

I don't work or study much

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* 7. What do you want to get out of this coaching program? (be specific)

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* 8. Why do you want to accomplish the above goal?

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* 9. What have you done so far to try to accomplish this goal? What has worked and what hasn't?

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* 10. Is there anything else that would help me understand and help you better?