Copy of Fitness Goals: One-On-One Fitness Coaching with Chris Coulson

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* 1. What's your current level of fitness?

1

2

3

4

5

6

7

8

9

10

1

2

3

4

5

6

7

8

9

10

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* 2. How often do you currently work out?

Never

Sometimes

Weekly

Several times a week

EVERY DAY!

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* 3. Do you have any nutritional or dietary restrictions?

Yes

No

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* 4. If yes, please describe:

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* 5. Do you have any health problems that would prevent you from focusing on fitness and health?

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* 6. Ever been part of an online fitness coaching program? If yes, please describe...

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* 7. I'm putting together an online group coaching program with Chris Coulson. I'm not a fitness expert, but he is. Would you be interested in joining it as a paid beta member? (This program will require a 3 month commitment (but you can keep going if you like, too).

Yes

No

Maybe

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* 8. What's the #1 reason why you would want to join this program?

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* 9. Let's say you join the program. What would you LOVE to see within 12 weeks? Is there an event coming up? Do you want to reach a certain fitness level? Please be specific.

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* 10. Right now we are testing this as a beta, and we are looking for people who are willing to commit 100%. Overall health and wellness is a long-term goal, and we want you to achieve your goals. But we need commitment from you. Are you ready?

Yes

No

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* 11. How can we reach you?

Full Name:

Best Email Address:

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* 12. What are your current stats?

Approximate Height:

Approximate Weight: