Name
*
First Name
Last Name
Email
*
Phone
*
(###)
###
####
Date of Birth
*
MM
DD
YYYY
Location
What are your top 3 health, fitness, or performance goals? (Be as specific as possible.)
*
What challenges are you currently facing that are holding you back from achieving these goals?
*
What have you tried in the past to overcome these challenges? What worked and what didn’t?
*
Describe your current fitness routine (if any): How often do you train? What type of exercises or sports do you do?
*
On a scale of 1-10, how satisfied are you with your current level of health, fitness, or performance? Why?
*
Why do you think now is the right time to start working with a coach?
*
Have you ever worked with a coach or trainer before? Yes / No. If yes, what was the experience like?
*
How much time can you realistically commit each week to training, nutrition, and recovery?
*
5 Hours a Week
6 Hours a Week
7 Hours a Week
8 Hours a Week
9 Hours a Week
10 Hours a Week
This program is a $2,500/month investment in your health and performance. Are you ready to commit to this level of investment in yourself?
*
Yes, I’m ready to invest in myself.
Maybe, but I have some questions.
No, I’m not ready at this time.
If we were to work together, what would success look like for you in 3 months, 6 months, and 1 year?
*
How will achieving your goals positively impact your life?
*
What makes you a great fit for this exclusive coaching program?
*
How did you hear about this program?
Social Media
Refferal
Podcast
Outlier Website
Anything else you’d like me to know about you?
Thank you for taking the time to complete this application! If your application is approved, you’ll receive an email within 48 hours to schedule a 45-minute discovery call to discuss your goals, challenges, and how this program can help you achieve them.
