Consultation Form

Consultation Form
Firstly, Thank you for trusting me as your coach!

For me to understand, How I can make this as tailored as possible to your needs and goals please take your time with the form below and give me as much detail as possible.
Name

First NameLast Name
Instagram Handle and Facebook
Phone Number
Please enter a valid phone number.
What is your address?
Email
example@example.com
What age are you?
Date of birth

MonthDayYear
Date
Your height
Current Weight
What has been your highest weight in the last 12 months
Todays Date

MonthDayYear
Date
What time do you wake/ go to sleep?
Describe your current diet, how many meals you have per day and what they are?
List what carbs, proteins and Fats you like?
List what foods you dislike?
Can you explain a rough day of eating on the weekend?
How often do you have a cheat meal?
Do you have any food allergies?
Do you have experience training in the gym, if so please state below?
Describe your current training including weight sessions and cardio?
Daily average step count if tracking?
What gym are you training at and how many days can you commit to, this will help me to build your training plan?
What is your occupation, can you describe a typical day, working week?
Are you on any medication, if so can you please list below?
Have you been cleared by a doctor?
Have you got any injuries or exercises that you can not perform?
Have you ever used any fat burners or peds (performance enhancement drugs) if so please state what and when?
What are your goals?
What have you tried in the past to achieve your goals? (include classes, camps, coaches)
What areas of the body do you want to improve the most?? (give me specifics if possible and put them in order of priorty) ie 1. stomach 2. glutes 3. arms
What is your WHY for starting this? (lets go deeper than 'for myself' the more information you can give to me here, the more I can help you achieve your results!!
Is there anything else you would like to mention or think i should know?
Have you got any questions for me?
Bodies By Stacey Accepts No Liability For Any Injury/Illness That Occurs During Coaching. If You Do Have Any Pre-Existing Medical Conditions, Please Consult Your Doctor Before Beginning the Programme.

Yes I AgreeNo I don't agree
Bodies By Stacey does not offer any refunds as this is a custom-made coaching product.When Signing Up To Bodies By Stacey You Must Commit For A Minimum Of 12 Weeks To Ensure Results Are Maximal, By Agreeing To This You Must Ensure All Monthly Instalments Are Paid.If You Do Need To Cancel (at the coaches discretion) Then You Must Give A Month’s Notice! Do You Agree?

Yes I agreeNo I don't agree
Only when payment has been made your plan will be sent, please allow up to 3-5 days for your plan to be created

Thank you for taking the time to complete the form, I look forward to you joining my team and letting me help you achieve your goals and your ideal physique

Stacey
What exactly do you want to achieve from this coaching? And how can I help you are a coach?
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Consultation Form

Firstly, Thank you for trusting me as your coach!