Coaching Inquiry
Name:
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Phone:
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Email:
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Confirm Email:
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Age:
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Weight / Height:
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Birthday:
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Number Of Years Training:
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What does your current training regimen look like?:
How much cardio are you currently doing weekly?:
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Do you want to compete?:
Yes
No
At Some Point
Not Right Now
You can probably convince me
What are your short term vs long term goals? Short Term = 3-6 months, Long Term = 1-2 years:
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Current Physique Photo : Front :
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Drop image file here or click to upload.
Only image files can be uploaded
Current Physique Photo : Back:
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Drop image file here or click to upload.
Only image files can be uploaded
How experienced are you with nutrition? (10 being expert):
Current Diet:
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Roughly how many calories do you eat daily?:
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Foods You Like / Eat on a normal basis:
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Foods You Dislike:
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Allergies:
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Do you have a history of eating disorders?:
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Current Medications:
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Medical History / Injuries :
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What division are you interested in? (bikini, fit model, wellness, figure, etc):
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What federation do you want to compete in? (NPC, OCB, WNBF, ONX):
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When are you looking to start working with a coach?:
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ASAP
In a few months
Im not sure
Not Yet
As soon as you’d recommend
How did you find us?:
Where do you live / what timezone are you in?:
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Instagram:
Are you able and willing to financially invest in a coach?:
Please pick one
yes
no
Which coach are you interested in working with?:
Please select one
Cassie
Lindsey
Alexia
Aiyana
Jade
Maddy
Any Coach
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