Personal Training Form

First Name *

Last Name *

Email *

Phone

Country *

Date Of Birth *

Is this your first time booking a life coach? if not describe briefly your previous experience

Why did you decide to look for coaching?

What are your expectations from coaching?

What are the 3 biggest changes you want to make in your life over the next 5 years?

If anything was possible what would you wish for?

On a scale of 1 -10 how happy are you with your life right now? *

On a scale of 1-10 how motivated are you in your work/personal life? *

On a scale of 1 -10 how stressed do you feel right now? *

List 5 things that you feel you are ‘putting up with’ right now?

I have read the PT Agreement Terms mentioned in the page below and accepted them *

Yes

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Life Coaching Form