Les Davies Coaching - Pre-Application Form

Pre-Application Form

If you fill in a few simple questions, I'll be able to come back to you with some ideas/tactics on how you can achieve your goals even faster!

Pre-application Form

First Name *

Last Name *

Email Address *

How old are you? *

Gender *

Male

Female

What is your profession? *

Mobile Number *

What’s your dream outcome? Please be specific. *

Example - To drop 20kg and keep up with the kids

What is stopping you from achieving this alone? Please be specific. *

Example - Time, full-time work, rarely getting a chance to focus on me

How long have you struggled to achieve this goal? *

What have you tried in the past? *

If everything makes sense on your end, are you happy to move forward on the call? *

What are you willing to invest per month into achieving your goals? *

Nothing, I will continue to struggle alone

£250-£300

£300-£450

I'll invest my anything to get to my goals

Are you the final decision maker?

I am the final decision maker

I will have my spouse/partner join me on the call

If not, and someone else (like your spouse or partner) needs to be involved in the decision, please ensure they can join the call. That way, if we both agree it’s a great fit, we’ll be ready to move forward together.

Book yourself in for a consultation and fit check.

If we are a good fit, we can get to work right after the call.

If not you'll still have a game plan

to execute afterwards!