1on1 Coaching Form

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1-on-1 Coaching Pre-Call Form

"*" indicates required fields

Full Name*

First Last

Email*

Date of Birth*

MM slash DD slash YYYY

Rank order these three with order of priority / interest for you with first being most important and being least on the last.

Strength
Flexibility
Metabolism

Single Biggest Health Challenge (just one)*

Second Biggest Challenge (just one if any)

Current exercise routine (be very specific and as honest as possible, none is just fine)*

When you were in the BEST shape of your life, tell me about what you did then.*

What is the single biggest thing you feel "stuck" or frustrated with right now, keeping you from moving forward?*

Which of the following do you have at home (check all that apply)*

yoga mat

yoga strap

yoga block

resistance bands

weights of any kind

pull up bar (or similar)

I understand.*

This is a coaching program that does not provide or substitute for medical advice, nor is it medically supervised.

I understand.*

Neither Lucas Rockwood, his staff, or company are medical doctors nor are they assuming any clinician-patient relationship whatsoever.

I understand.*

That all information provided in this program is for informational purposes only, is not medical advice, and should not replace or supersede any existing medical guidance from a healthcare provider.

I acknowledge.*

That neither Lucas Rockwood nor YOGABODY LLC assumes any liability for decisions I make based on the information provided. I accept full responsibility for my health, without exception.

I understand.*

That it is my responsibility to consult with a qualified healthcare provider before initiating any new diet, exercise, or fitness program.

I understand.*

That this program is not intended to diagnose, treat, cure, or prevent any disease, injury, or illness.

Signature*

Email

This field is for validation purposes and should be left unchanged.

YOGABODY^® and YOGABODY Teachers College^® are internationally-registered trademarks of YOGABODY Naturals LLC.

Contact Information

30 N Gould St STE
20010 Sheridan,
Wyoming 82801
support@yogabody.com

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