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One-On-One Coaching Application

Thank you for your interest in working with Rachel!

Please take a moment to complete this application in as much detail as possible.

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Question 1 of 17

First & Last Name

Question 2 of 17

Email Address

Question 3 of 17

How did you hear about Rachel Gregory?

A

Rachel's Book

B

Rachel spoke at an event I attended

C

Instagram

D

Facebook

E

Online Search

F

Podcast

G

Other

Question 4 of 17

Where are you located and what is your current occupation? 

Question 5 of 17

Gender

A

Female

B

Male

Question 6 of 17

Age

Question 7 of 17

Height & Weight

Question 8 of 17

Do you currently (or have you ever in the past) followed a specific dietary protocol? (i.e., Ketogenic, Atkins, Vegetarian, Vegan, Paleo, IIFYM, etc.) Please explain.

Question 9 of 17

Do you currently track Macros (calories, carbs, fat, protein) using a tracking app? If no, have you tracked macros in the past?

Question 10 of 17

Do you currently follow a specific exercise regimen? (please explain)

Question 11 of 17

Do you suffer from any medical conditions? (diabetes, autoimmune, high blood pressure, etc.)

Question 12 of 17

Tell me about your current situation. What are 3 things you’d like to focus on first if we were to work together?

Question 13 of 17

Can you share some concerns, challenges, or current conditions you are facing or struggling with? 

Question 14 of 17

What thoughts, limitations or challenges do you feel are stopping you from committing to making the changes you are seeking?

Question 15 of 17

Can you tell me what you have tried so far to solve these problems?

Question 16 of 17

How willing and able are you to invest in yourself at this time? (time, resources, finances, current commitments).

 

*Please note that I require a minimum 3-month commitment for all one-on-one clients.

Question 17 of 17

Anything else you’d like me to know?

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