ONLINE COACHING ENQUIRY

Online coaching application form

We are passionate about seeing results and helping our clients successfully grow and achieve their goals in a way that compliments their lifestyle. To help in ensuring we are able to support you and work as a team in achieving long term success, we require some information. Please fill in the below application accurately and with detail. Our admin team will then be in touch regarding coaching availability and options we think will best suit you, your needs and goals.
Personal Information:
Full Name

First Name Middle Name Last Name
Age
Sex
Country
Phone Number
E-mail
example@example.com
Questions and Details

*Please note if you wish to proceed with our coaching services a more indepth goal setting and screening process will be conducted. The below information is so we are able to get an idea of what coaching option we think will best suit your needs.
What are the reasons why you would like to enquire to hire a coach to assist you with gaining education and coaching you towards achieving your goals and improving your lifestyle?
Have you had a coach before?

Yes No
Are you enquiring for?

Nutrition online 1/1 coaching Training online 1/1 coaching Nutrition and training online 1/1 coaching 8 week customised training program Not quite sure
What experience do you have with training? Please give detail with any previous program's or classes you have previously done.
Select how confident you are with strength and resistance training?

low confidence Some what confident Very confident
What experience do you have with nutrition/dieting? Let me know any previous dieting methods you have tried in the past?
How would you describe your relationship with food?
What do you struggle most with when it comes to food and working towards your goals? (Could be lack of education, guilt surrounding eating certain foods, binge eating, not eating enough etc)
Here at Beth Clare Fitness we are very educational driven when it comes to working with our clients to achieve their health and fitness goals. We require our clients to be prepared to apply themselves to learn and spend the time to gain the education when working on improving knowledge, habits and behaviours towards achieving your goals in a a way that suits your individual lifestyle. Are you committed to work together as a team with your coach to drive the best results?
Do you feel as though you have any obstacles within your lifestyle that makes working towards your goals challenging for you? (Could be work/life balance, commitments, family responsibilities, mindset or self belief struggles etc)
Why is achieving your goals, gaining education and improving your lifestyle important to you?
When are you wanting to commence coaching?
Any additional notes?
See below PDF for details on our coaching options and prices.
Click here to download our coaching information and prices.
Should be Empty:

Now create your own Jotform - It's free! Create your own Jotform

Online coaching application form