Coaching Application

Coaching Application Form

First Name:

Last Name:

Email:

Phone:

Date Of Birth:

Profession:

Relationship Status:

How did you find me? Referral? Social Media?

What coaching services are you interested in?

Online Coaching Hybrid Coaching In Person Coaching

What is your goal? Please Describe:

Why do you want to achieve your goal? Please Describe:

Have you tried to achieve your goal(s) before? Please describe:

How committed are you to your goal?

100% - Wanting a GREAT result 90% - Wanting a Good result 80% - Wanting a OK result

What results do you want?

Fast - Short term less than 12 weeks Moderate - Mid term more than 12 to 48 weeks Slow - Long term more that 48 weeks

What is your level of experience?

Beginner - Less that 1 Year Intermediate - Between 1 to 4 Years Advanced - More than 4 Years

How many sessions per week can you train? With & without me.

1-2 3-4 4-5

What is your investment for coaching?

$100-$150/ Week $150-$200 / Week $200-$250+/ Week

What are your expectations working with me? Please describe

When is the best time to call?