Coaching Application
Answer ALL questions to the best of your ability! I look forward to reviewing your application and helping you take you fitness and health goals to the next level!
Name
First Name
Last Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Time Zone & Location
Current Nutritional Approach
Tracking calories/ macros
Meal Plan
Intuitive Eating
Carnivore/Vegan/ Fasting/Other
No structured approach
Food Allergies/ Sensitivities
Typical Eating Pattern (brief description+ meals, snacks, timing etc.)
Training Frequency (Days per week- Minutes per session)
Training Type (Strength, bodybuilding, HIIT/ Interval, Conditioning,Sport-specific, other, please describe)
Training Type you are interested in
Desired Exercise Frequency (days per week)
Medical Clearance: Have you been cleared by a physician to exercise?
Please Select
Yes- Cleared for exercise
Yes- Limited activities
No- Not clear to participate in exercise
Current Injuries/ Restrictions
Medical Conditions & Medications (List of medications, PEDs, Peptides, Contraceptives & any medical conditions)
Do you smoke, drink, or consume recreational cannabis/ other substances if yes how often.
Sleep Quality/ Hours per night ( Describe quality and give range for hours per night)
Stress level 1-10
Occupation- work schedule- and length of shifts
What are your top 3 goals? ( Be Specific)
Why do these goals matter right now?
What would success look like in 3 months of us working together? (Be specific- strength, body composition, habits, mindset, etc.)
Barriers ( work, family, travel, sleep issues)
How committed are you on a scale of 1-10?
Preferred coaching style: (more supportive, more accountability, tough feedback)
Communication preferences- ( Frequency and method- Bi- weekly, weekly, text, etc.)
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What frustrates you the most about past programs or coaching experiences?
Availability for intake call (2-3 dates and times)
Payment Understanding- I understand payments are due in full monthly/ up front.
I understand
Consent to data accuracy
I confirm these answers are complete and honest
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