PPSC 1-1 Training Application

Name

Phone Number

Email Address

What's your home address?

What is your date of birth?

What is your Instagram handle? (Example @painfreetraining)

What is your primary health, fitness or performance goal?

Are you currently exercising free of pain or limitation?

Yes

No

What have your last 3 months of training looked like?

What's your biggest challenge to achieve your goal?

What's been your biggest victory in your health & fitness?

What does success with your health and fitness look and feel like?

Which coach are you interested in working with?

What was the driving factor for applying to work with me as your coach?

Are you currently in a position financially to invest in an online coach?

Yes, I am financially able to hire an online coach.

No, but I will figure out a way to make it work because health is my priority.

No, I'm currently not able to financially invest in a personal online coach at this time.

Anything else you'd like to tell me about yourself?

LEGAL