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Certification Interest Form

Fill out this interest form to begin your certification journey.

Click the button below to begin.

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Question 1 of 15

Write your full name: 

Question 2 of 15

Write your email address: 

Question 3 of 15

Where are you located? (city and country) 

Question 4 of 15

Have you hired or worked with a movement coach before?

A

Yes

B

No

Question 5 of 15

Are you currently a movement, fitness, and/or health and wellness coach?

A

Yes

B

No

Question 6 of 15

Are you willing to workout/ move for 45 minutes every day?

A

Yes

B

No

Question 7 of 15

Are you able to complete a minimum of 2 hours of online education per week?

A

Yes

B

No

Question 8 of 15

Are you willing / able to pay $3,000 for the certification and training?

A

Yes

B

No

Question 9 of 15

Are you currently experiencing any chronic or acute pain and or /injury ? If yes, please describe:

Question 10 of 15

Give us a brief description about yourself.

Question 11 of 15

Why do you want to become a certified Primal Movement coach?

Question 12 of 15

Do you want coaching to be part of your professional life and/or income? If yes, give us a brief description of your business plan and/or model.

Question 13 of 15

What do you hope to gain from becoming certified?

Question 14 of 15

Please provide a phone number or the best way to contact you:

Question 15 of 15

Do you have instagram? If you do please share with us your handle:

Confirm and Submit