Client Application Form
Hey! You're interested in me helping you achieve your goals? Perfect, all I need you to do is fill out this form as detailed as possible and I'll get back to you as soon as I can. I get a lot of people enquiring for my help, so only fill this out if you're serious about getting getting results.
Name
First Name
Last Name
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email
example@example.com
Phone Number
-
Area Code
Phone Number
What's your Gender?
Male
Female
What service are you most interested in?
Personal Training
Online Coaching
What's your goal? (Be as descriptive as possible)
Describe what achieving your goal means to you? (Be as descriptive as possible)
When do you want to achieve this goal?
1-3 Months (Short term)
4-12 Months (Medium term)
12+ Months (Long term)
How committed are you to achieving your goal?
1
2
3
4
5
6
7
8
9
10
Not arsed
I'll eat fire
1 is Not arsed, 10 is I'll eat fire
What sort of training are you most interested in?
Strength
Fitness endurance
Muscle building
Fatloss
Athletic performance
Overall wellness
Other
Have you followed a serious training program before?
Yes
No
If yes, please specify as much information as possible about the training programme you followed:
How would you rate your understanding of nutrition?
1
2
3
4
5
6
7
8
9
10
No clue what I'm doing
I'm the Einstein of nutrition
1 is No clue what I'm doing, 10 is I'm the Einstein of nutrition
How many times a week are you willing to train?
1
2
3
4
5
6
7+
How many times a week would you like to train with me?
1
2
3
4
5
6
7+
Online
What's your budget monthly for training?
Up to £100
£100-£200
£200-£300
£300-£400
£400-£500
£500-£600
£600-£700
£700-£800
£800-£900
£900-£1000
What do you feel you need help with the most? (Be as descriptive as possible)
When do you want to start?
NOW!
In the upcoming days
Within the next couple of weeks
Within the next couple of months
Within the next year
Anything else to add?
Submit
Should be Empty: