Online Coaching Enquiry
Thanks for showing a interest in customised workouts and coaching with me. Please answer the below as accurately as possible and I'll be in touch via email within 24 hrs.
Name
First Name
Last Name
Email
example@example.com
Phone Number
-
Area Code
Phone Number
Age
Weight (kg)
Height
Past and Current Exercise Habits
How active are you currently?
Not active
Somewhat active
Active
Very active
Describe a typical working day (wake time, all meal choices, training, social and bed time)
Describe a typical workout you would do including reps, duration and rest periods
How will you feel once you've achieved this goal? How will it impact your life?
What Is your long term goal?
Gaining body confidence
Fat loss
Toning
Building muscle
Improving fitness levels
Taking part in a challenge/competition
Other
Ask a coach, how could I help you achieve your fitness goals?
Why do you feel you have not achieved your fitness goals?
What obstacles do you feel stand would stand in your way from achieving these goals? Please list all that could apply
How many days do you wish to dedicate to training each week?
On a scale of 1-10, how important is it for you to achieve your fitness goals?
How would you describe your current attitude towards fitness in general?
Highly motivated, just need some guidance
Struggle with discipline but ready to go
Struggle to stick to a programme on own
Always find excuses not to go to the gym
Other
Do you have access to a gym or will you be working out from home?
If at home, list all the gym equipment that you have
How confident do you feel using fitness equipment in a gym or at home?
Not confident and unsure of what to do
Somewhat confident with some knowledge
Confident
Very confident and experienced
What activities do you enjoy? Select all that apply
Hiit
Weightlifting
Pilates
Strongman
Boxing
Walking
Cycling
Running
CrossFit
Swimming
Gymnastics
Climbing
Dancing
Yoga
Rowing
Team sports such as Football, Rugby, Tennis, Netball etc
Past/Current Eating Habits
What are your current eating habits like?
Eat healthy the majority of the time with the odd treat
Try to eat healthy but don't always know what is healthy and what isn't
Eat less nutritious food and don't cook very often
On a scale of 1-10, how good would you say your knowledge of nutrition is? 1- I'm clueless and 10 - I know what I should be eating to reach my goal
Have you had experience counting macros or tracking your food?
Yes
No
Sleep & Stress
How many hours of sleep do you get each night?
How active is your job/daily life?
Sit at a desk all day
At desk and also on feet
Always on your feet
Other
Accountability
Are you willing to complete weekly check ins, discuss progress and challenges, share body measurements and physique photos and stay on top of your training?
Yes
No
Maybe
Are you willing to work with me for a minimum of 12 weeks?
Yes
No
Maybe
Do you have any medical conditions or injuries that will affect your online coaching?
Submit
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