Selffit Online Coaching Questionnaire

Welcome to the first step in joining the Selffit Online Coaching Community! Please fill in this form and Jess will analyse and be in touch regarding suitable packages.

Your Name

Your Email

Your Mobile number (please include prefix e.g +353)

Your Gender

Your Date of Birth ( please note must be over 18 years old to work with Selffit Coaching)

What country are you based in?

What city or town are you based in?

How did you find out about Selffit Coaching?

Instagram - Jess_selffit

Instagram - Selffit Coaching

Friend Referral

Google Search

Facebook

Other

Is there a particular service you're interested in?

Self Reset

Self Balance

Self Build

Self Performance 2.0

Unsure

What's your current goal?

Lose body fat

Build muscle

Improve health & lifestyle

Photoshoot prep

Other

If you selected 'other' please specify

Why do you want to achieve this goal?

Please rate your readiness for change & commitment

1 (not sure) 2 3 4 5 (I'm ready!)

After submission of this form, you may be asked to fill out a detailed assessment to see if we are a good fit for each other. Is there anything in the meantime that you would like to let us know?

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Selffit Online Coaching Questionnaire

Selffit Online Coaching Questionnaire

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