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Lead Questionnaire
Dear Sir or Madam, please take a few minutes of your time to complete the following questionnaire.
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The Revival Coach Questionnaire
1
Full Name
2
Age
3
What are your goals? Tick as many as relevant* *
Select one or more answers
Losy Bodyfat
Build Muscle / Strength
Optimise Health
Improve Energy
Improve Confidence
Improve my Mindset
Improve my Productivity
Improve my Cognitive Function
4
What is your biggest challenge in achieving this goal?
5
How would you describe your current lifestyle?
Select one answer
Very active
Moderately active
Sedentary
6
How committed are you to making changes to your health and lifestyle?
(On a scale of 1 to 10, 1 = not committed, 10 = fully committed)
7
What is motivating you to make a change now?
8
Are you prepared to invest in your health and transformation with professional coaching?
Select one answer
Yes, I’m ready to invest.
I’m unsure but willing to discuss.
No, I’m not ready to invest at the moment.
9
If a good fit, which option best fits your financial readiness?
Depending on the tier of service you choose, the investment in 1:1 coaching typically ranges from £50-£75 per week.
I’m comfortable investing in myself at this range.
I would need to budget carefully but could make it work.
This range is currently outside my budget.
10
Do you have any additional questions or concerns you’d like addressed during our call?
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