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MEDIA
COACHING
Please fill out the form below to set up your initial consultation.
Name
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First Name
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Email
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Gender
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Age
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Height (feet and inches)
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Weight (in pounds)
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Where are you based?
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What are your current health and fitness goals? Please be as specific as possible.
Are you following any kind of diet or nutrition plan?
What are you currently doing for your workouts?
How many alcoholic drinks are you having per week?
Do you have any health issues, heart conditions, or injuries that I should know about?
What are the obstacles preventing you from achieving your goals? Ex. time, accountability, not knowing what to do?
Thank you!