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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What's your primary goal in working with me? (the more specific you are 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 $500

$1,500-3,000

$5,000 or more

How serious are you about making your health goals a reality? *

Not that serious

I'm pretty serious but I'm shopping around

I wanna get started ASAP!!!

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

Thank you!