MDMC Intake Form

MDMC Intake Questionnaire

Please take your time filling out this questionnaire and be as detailed and honest with your answers as possible. We will use this form to track your transformation.

Thank you!

~ The Gymnazo EDU Team

Full Name

Phone Number

Address

Address Line 2

City

State

Country

Zip Code

Title/Job Description

Date of Birth

Instagram Username (@________)

Website

What certifications and/or degrees do you currently have?

When did you first hear about/discover Gymnazo?

What about this mentorship course excites you?

Let's do some dreaming...Where do you want to be in 6 months, 1 year, and 2 years? (Don't limit yourself here, dream big)

What skills are you hoping to gain from this course?

What would make you feel like a success after completing the program?

What are your revenue goals for the next 6 months?

How many clients do you currently work with?

How many hours per week do you spend training clients?

What do you currently charge per session? (please be specific and break it down by 1:1, semi-private/small group and group, if you offer multiple services)

What is your greatest struggle as a coach?

What do you believe is holding you back from achieving your dreams now?

Form submission[]

We are so excited to have you join us!

MDMC Intake Questionnaire

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