1-2-1 Online Enquiry Form
Name:
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Surname:
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Phone:
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Email:
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Confirm Email:
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This application helps me understand where you’re currently at and whether 1–2–1 coaching is the right fit. There are no right or wrong answers — honesty helps me help you.:
What prompted you to apply for coaching right now?:
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What would success look like 6 months from now if this worked perfectly?:
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What have you tried before to improve your health or fitness? What worked — and what didn’t?:
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What do you feel is currently holding you back the most?:
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Time
Motivation
Consistency
Knowledge
Stress
Family/Work Demands
Other
If you answered other to the above question, please elaborate?:
On a scale of 1–10, how ready are you to commit to changing your habits? (1 = thinking about it, 10 = fully committed):
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This field is required
6. Are you willing to focus on simple daily habits consistently, even when motivation dips?:
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Yes
Unsure
No
How many days per week can you realistically dedicate to movement or training?:
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1-2
3-4
5+
Do you currently have any injuries or medical conditions that affect exercise?:
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What type of support do you feel you need most?:
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Accountability
Structure
Education
Motivation
All of the above
Coaching is £199/month and requires consistent effort on your part. Are you prepared to invest both financially and personally?:
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Yes
I need to think about it
No
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