Contact Me | Coach Cords

Contact Me

Have a question or just want to get in touch? Message me below!

Contact Me

Have a question or just want to get in touch? Message me below!

Send a Message

Coaching Application Form

First Name *

Last Name *

Email *

Phone

Instagram Handle *

How old are you? *

Where in the world are you based? *

On a scale of 1-5, how would you rate your knowledge of health & fitness? *

What are your top 2-3 health and fitness goals you are hoping to achieve by working with a coach? *

What would you gain by achieving this goal?

Tell me a little about your health and fitness journey so far. What do you feel like you have struggled with most and what challenges or roadblocks have been holding you back? *

Why is now the right time for you to make a change?

How soon are you looking to start? *

What made you pick coaching with me specifically? *

Do you agree that there are no quick fixes to sustainable health and wellbeing?

To ensure that we build long lasting results, this is a 3 month program with the option to extend for as long as you need. are you ready to commit to true change / transformation? *

On a scale of 1-10, how committed are you to investing time & energy into transforming your health and lifestyle? *

CONTACT

[email protected]

+27 82 850 3015