Coaching Qualification Survey

We'd like to learn a little more about you.

This survey helps us understand your goals, your current situation, and what you're hoping to accomplish. Your responses will help us tailor our conversation and determine whether Wellth Performance Coaching is the right fit for your needs.

Please answer each question as honestly as possible.

When you're ready, click "Next" to begin.

First Name

Last Name

Phone

What is your current weight/body fat %?

What weight/body fat % should you be?

What are your short and long-term health and fitness goals? Please be as specific as possible.

Why are these goals important to you right now?

Why do you believe you haven’t achieved them already?

How long have you been working toward these goals?

<6 months

6 months - 1 year

2 years - 4 years

Over 5 years

How do you think a coaching program might help you achieve your goals?

If the program were a mutual fit, what would success look like to you 6 months from now? Please be very specific.

Wellth Performance requires coaching clients to attend scheduled check-ins, complete assigned actions, track agreed- upon information, and communicate when challenges arise. If this program were a mutual fit, would you be prepared to meet those expectations?

Yes

No

Sometimes people need to consult their partner or spouse before they are able to make financial decisions. Is your partner/spouse aware of this conversation, and if this is a good mutual fit do they support you moving forward?

Yes, we've already discussed it, and I'm able to make a decision today.

Not yet, but I'll discuss it with them before our appointment so I can make a decision.

I make my own financial decisions.

Coaching is an investment. If this turns out to be a mutual fit are you financially stable enough to invest in your health and fitness?

Yes

No

Next