TRAINING BY DRAKE

In-Person Training Questionnaire

Name *

First Name

Last Name

Email *

What's the best phone number to reach you? *

(###)

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How did you hear about me? *

Instagram

Facebook

YouTube

Flyer/Brochure

Referral

Other

What's your primary goal in working with me? (Be very specific. The more details, the better.) *

How long do you plan on working with me? *

1-3 months

6-12 months

18-24 months

Are you looking to pay month-to-month or commit to a 3, 6, or 12 month program? *

Month-to-month

3 month program

6 month program

12 month program

What's your budget? *

Less than $1,000

$1,500-3,000

$5,000 or more

How coachable are you? *

I'm not really that coachable.

I’m some-what coachable.

I’m very coachable.

Would you consider yourself an action-taker? *

I wouldn't consider myself an action-taker.

I’m some-what of an action-taker.

When I want something, I do my due diligence and take decisive action.

How much do you value good communication? *

It's not that important.

It's some-what important.

It's extremely important.

Of all the health coaches you could work with, why are you considering me? *

Thank you!