Coaching Application

Please take 5min to fill the info below to see if you qualify for our program!

Kak Performance Coaching Application

Please take a moment to answer the following questions. The reason I have this process is because I want to set expectations with potential clients and let them know what to expect if they work with me. I've found this way I can be way more involved, build deeper relationships, and make lasting changes.

My goal is to only take on clients who are EXTREMELY motivated to reach their goal, not just ‘kind of” interested. I do the best with people who are sick and tired of not being where they want to be, are action-takers, and are willing to do what it takes to achieve their goals.

Full Name *

Email *

Phone *

This is just so I can contact you. I will not spam you!

What is your current age? *

What is your height? *

How much do you currently weigh? *

How did you hear about Kak Performance OR who referred you to us? *

What is your occupation? *

Tell me briefly what your 3-6 month goal is.. *

Why is it important for you to reach your goals? *

How long have you been training? *

Never, this is my first time

1-2 years

3 years or more

What do you feel you struggle with the most when trying to accomplish your goals? *

What would you be NOT WILLING to give up, in order to accomplish your goals? *

Have you ever worked with a coach before? *

Yes

No

If you decide you'd like to work with me, how soon are you looking to get started? *

Can you make financial decisions WITHOUT your spouse's input? *

Yes

No

Any additional info you would like me to know?

Please leave below:

Hurry! Don't miss your opportunity to unlock the secrets to optimize your metabolism to get sustainable RESULTS!