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Personal Coaching Application

Welcome to the Exclusive 1:1 Coaching Program 💫

This is a personalized coaching experience for dedicated students who want to take their pole progress to the next level with my direct guidance — including weekly video feedback, customized training structure, and progress tracking.

Please note:
💡 Submitting this form doesn’t guarantee a place in the program.
I only work with a limited number of students at a time to make sure everyone gets full attention and personalized feedback.
After you submit your answers, I’ll personally review your application and reach out if a spot becomes available.

Take your time — the more detail you share, the better I can understand your goals and current level.

Click the button below to start.

Start

Question 1 of 12

What's your full name, your age and email address?

Question 2 of 12

How long you have been doing pole dance?

Question 3 of 12

How many times a week do you train on average? 

Question 4 of 12

Where do you usually train? (Home/Studio/both)

Question 5 of 12

Do you have access to a pole at home? What kind of pole do you use (brand, material, spin/static, ceiling height)?

Question 6 of 12

What are your current pole levels or key tricks you can already do confidently? 

Question 7 of 12

What are your short-term goals? (4-6 weeks)

Question 8 of 12

What are your long-term goals? 

Question 9 of 12

Are there any physical limitations, injuries, or fears I should know about?

Question 10 of 12

How many hours per week can you realistically dedicate to pole training and conditioning?

Question 11 of 12

Do you also do flexibility or strength training outside of pole?

Question 12 of 12

How do you prefer to receive your feedback? 

A

WhatsApp

B

Email

C

Instagram DM

Confirm and Submit