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CONTURSI PERSONAL TRAINING
Apply for Coaching
Private Coaching Application
Complete the application below to determine if coaching is the right fit.
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Full Name
*
Email
*
Phone
*
What town are you coming from?
*
Goals & Urgency
Lose body fat
Build strength & muscle
Improve mobility / move better
Reduce aches & pain / train around an injury
Improve energy & fitness
Improve posture / movement quality
Other (Please Explain)
Please briefly explain
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If we fast forward 6–12 months, what would success look like for you?
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Why is this important to you right now?
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What best describes your training experience?
Beginner (0–6 months consistent)
Intermediate (6–24 months consistent)
Experienced (2+ years consistent)
On/off for years
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What have you tried in the past to reach your goal? What worked and what didn’t?
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What has prevented you from getting the result you want?
Inconsistency / schedule
Unsure what to do
Lack of accountability
Pain / injury limitations
Stress / sleep / recovery
Nutrition / eating habits
Motivation comes and goes
Other (Please Explain)
Please briefly explain
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Any injuries, pain, or limitations we should know about?
*
Are you currently under medical care or have you been advised to avoid exercise?
No
Yes (please explain)
Please briefly explain
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How many days per week can you realistically commit to private coaching?
2 days/week
3 days/week
4 days/week
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If accepted, when would you like to start?
This week
Within 2 weeks
Within 30 days
Not sure yet
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Are you prepared to invest in professional private coaching to achieve your goals?
Yes
I’m open to it, need details
No
Anything else you want me to know before we speak?
Submit Application
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