HOLLAND PERFORMANCE
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Contact
Pricing
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HOLLAND PERFORMANCE
This is where your journey begins
Help me learn a little about you. This information will never be shared.
Name
*
First Name
Last Name
Email Address
*
Mobile Number
*
How old are you?
*
Gender
*
Male
Female
Non Binary/Non Conforming
Other/Prefer not to say
How tall are you (in centimetres)?
*
What do you currently weigh (in kilograms)?
*
How did you hear about me and my coaching?
*
Occupation
*
Can you briefly describe your goals?
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What may have prevented you from reaching your goals in the past?
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Lack of adherence
Not knowing what to do or who to listen to
Support
Too many restrictions
Medical Condition
I don't know
Other
Do you have experience tracking food intake?
*
No
Yes
Please rate your activity level outside of workouts?
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Low
Medium
High
Do you workout?
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It's okay if you don"t
Yes
No
How many hours per week do you workout?
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0
1
2
3
4
5
6
7
8
9
10
11
12
13
14+
What workouts do you do?
*
Please check all that apply.
Running
Walking
Cycling
Crossfit
Weight lifting
Swimming
Yoga
Pilates
Barre
Bootcamp
Sports
Other (Please describe below)
What is your current dedication level to reaching your goals. Be honest!
*
Low
Medium
High
Are you training for a specific event?
If yes, please describe.
What qualities are you looking for in a coach?
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Is there anything else you’d like me to know, so we can help you best?
*