— CONTACT FORM — Application Form Name * First Name Last Name Email * D.O.B * Phone Number * Address * Occupation * How long have you been trying to work on your goal? * How many years have you been training? (write N/A if not applicable) Have you worked with any other coaches in the past? * Where are you now, with your health and fitness? * Where do you want to get to and achieve, whilst working with Chloe? * What has been your biggest hinderance(s) to success/ achieving results in the past? Nutrition Inconsistency with diet Inconsistency with exercise Support Enjoyment Unrealistic approach Other If you could achieve anything in the next 16 weeks, what would it be? My coaching is about giving you the tools, strategies and the fitness and health results you are looking for, so that you can sustain them forever. With this in mind, on a scale of 1-10 how much of a priority is investing and starting to work on your health right now? * 1 - not ready at all 10 - couldn't be more ready Finally, is there anyone else that needs to be on the call to make an investment decision ? * Thank you!
