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Fitness Success Audio Coaching

Fitness Success Group Telephone Coaching & Support

Pre-Coaching Survey

Please fill out the following questionaire to be considered for our Group Telephone Coaching program. Be sure to click on the Google Checkout button to pay the enrollment fee.

This program is currently closed to new applicants.
Please enter your information below to be placed on the waiting list.

Name:
Email Address:
Physical Characteristics:
Sex:
Height:

Weight:
(Select Closest)
Date of Birth:
(MM/DD/YYYY)
General Questions:
Why is a healthy lifestyle important to you?
What are your fitness goals?
What do you hope to get out of group coaching?
Have you tried fitness coaching or similar programs before? If so, please describe your experiences:
How motivated are you to get in shape and stay in shape? What is your source of motivation?
Other Comments? Please include days and times you cannot attend telephone coaching.