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VIP Client Application

Are you looking to work with me? I would love to see if we are a good fit! Please fill out these questions as honestly as possible, and see if we are a good fit to work together!

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Question 1 of 15

What program are you interested in?

A

VIP Transformation Program

B

Okon Athlete Program (Competitions)

Question 2 of 15

How did you hear about me?

(Select all that apply)
A

Instagram

B

Facebook

C

Snapchat

D

Referred by friend

E

Internet Search

Question 3 of 15

If someone referred you to Okon Fitness, what was their name? [If no one just put N/A]

Question 4 of 15

How many times a week (on average) do you work out?

A

0

B

1

C

2

D

3

E

4

F

5 or more

Question 5 of 15

Do you have any injuries, or have you had any significant ones in the past?

Question 6 of 15

What is your desired goal? Be specific!

Question 7 of 15

Have you ever been on a diet? If so, describe briefly. (keep in mind, my program is teaching you a lifestyle -- not a diet)

Question 8 of 15

What is your preferred diet? (If you are looking for Vegan please only check vegan)

(Select all that apply)
A

Meat-Based Diet

B

Plant-Based Diet

C

Vegan Diet

D

Keto Diet

E

Other

Question 9 of 15

What are your current allergies and please specify specific diet you're looking for if you checked "other" in the previous question? (List below) - 

Question 10 of 15

Have you ever had any stomach illnesses or problems?

Question 11 of 15

Where do you currently exercise?

(Select all that apply)
A

Home

B

Gym (with available weights)

C

Yoga Studio

D

Group Fitness Gym (i.e. OrangeTheory)

E

I don't currently exercise

Question 12 of 15

On a scale of 1-5, where would you rate your motivation to reach your goals?

A

1 - Not very motivated

B

2 - Slightly motivated

C

3 - Somewhat motivated

D

4 - Very motivated

E

5 - Extremely motivated

Question 13 of 15

Please check which social media platforms you currently follow me on.

(Select all that apply)
A

Instagram

B

Snapchat

C

Facebook

D

Twitter

E

Youtube

Question 14 of 15

 

Please inform me of what you would like to achieve from our time working together and with me as your personal online coach. Be as specific as you like! This information will help me tailor your programming to suit your needs more thoroughly and effectively!

Question 15 of 15

Have you ever or do you currently struggle with any eating disorders?

A

Yes - currently

B

Yes - in the past

C

No

Confirm and Submit