First Name
Last Name
Email
*
Phone
*
What are your health and fitness goals?
On a scale of 1 - 10 how important are these goals to you?
Why are you applying to Chaselynn Fitness?
What is your current fitness level and ability?
Which of the following best describes your current fitness level and ability?
Beginner: I am new to exercise
Intermediate: I have some experience and can do basic strength training.
Advanced: I work out regularly and am confident using weights.
I have limitations or injuries that may impact exercise.
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Are you cleared by a healthcare provider to participate in exercise and nutrition coaching?
Based on a monthly investment, what level of support are you looking for right now?
I am not financially ready to invest right now
$351 - $600
$601 - $950
$951 - $1200
$1200+ for Premier Coaching
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Are you willing to invest time, energy, and resources to create sustainable results?
Yes, I’m 100% committed.
Yes, but I have some concerns
No, I am not ready for this level of commitment.
For optimal call quality this will be on zoom. Will you be ready?
Yes, I will be ready to go
No, I dont know what zoom is.
Not yet, but I will be prepared.
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SUBMIT MY APPLICATION 👉
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