- How did you find out about the Dr. Kareem Coaching Program?
- Have you ever been diagnosed with any health conditions and/or are you currently taking any medications that I should be aware of? If so, please list and explain.
- If you answered no above, simply type N/A in the box below. If you answered yes, do you have clearance from your physician to participate in a regular exercise program? (Please forward your physician’s clearance to us right away at email@example.com, as we will need this on record)
- How would you rate your current level of fitness? Poor, Fair, Average, Good, or Excellent?
- Why are you applying? Please briefly describe your goals for the next 16 weeks (short-term), in terms of what you’d like to see happen with your body and health?
- Please briefly describe your long-term goals with your body and health (longer than 16 weeks)
- Why are these goals important to you? In other words, what makes it different this time, that makes you motivated to actually hit your goals, as compared to before?
- Why do you want to be a part of the Dr. Kareem Coaching Program at this time?
- How important do you feel personal mentoring is to achieving your health and fitness goals? Not important, Somewhat important, Very important?
- Are you 100% willing to commit your FULL effort to this coaching program?
- Why do you believe that you will be successful at implementing your program consistently?
- In your mind, what are the consequences of not taking action?
- How will you feel if you don’t hit your goals? What will your life be like?
- Are you applying for ‘fat loss’ or ‘muscle’ coaching?
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