F1TxMIND Fitness and Nutrition Application Form
First and Last Name
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Cell Phone Number
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Email Address
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What are your health and fitness goals (select all that apply)
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Lose weight
Build muscle
Improve well being/health
Gain knowledge with nutrition/exercise
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What's been your biggest challenge in achieving your health goals? (SATA)
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Workouts
Nutrition
Lack of accountability
Too busy
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What have you tried in the past to reach this goal?
I've only tried on my own
I've worked with a 1:1 coach
I've done group coaching
I've utilized training apps
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Would this be a joint decision between you and your partner? If so, we'd love it if they could hop on the call as well!
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Yes, they play a role in this decision
No, this is 100% my decision
Be sure to be in a place where you're fully present and good internet/wifi. And NO driving please!! Sound fair enough?
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Yes, of course.
I can't guarantee anything
Do we have consent to record our call for quality purposes?
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Yes
No
Where did you receive this application form?
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Coach sent it to me
Website
Social Media
Referral
