Full Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
IG Handle:
*
STATE & COUNTRY/REGION:
*
Please list your *AGE-WEIGHT-HEIGHT*
*
BIRTHDATE:
*
How did you hear about Rize Coaching ? (if referred, we'd love to know!)
*
Have you ever worked with a coach online:
*
Never
once, non. fitness related
Yes, w/different coaches
no, but i'm ready to!
Are you looking for online coaching or in person training?
Online coaching + nutrition
In- person training
Hybrid approach (1x/week in person +online coaching)
Current Goal(s) working with a Rize coach:
*
weight loss
build muscle/gain healthy weight
contest prep
lifestyle/transformation
Off season
build my physique for future competition
Please select a Rize Coach:
*
Please Select
Trainer Brook
Trainer Caylee
Trainer Nelly
Whichever coach that fits me best.
In short answer, what is your main goal with personal training| coaching?
*
*if you've had a coach before- please briefly explain what you liked and disliked during your duration with them*
CURRENT LIFESTYLE/PROTOCOL:
LIST ANY CURRENT SUPPLEMENTATION| ALLERGIES:
INCLUDE EXACT PEDS/DOSAGES, MEDICATIONS, VITAMINS, GENERAL SUPPLEMENTS*
CURRENT ACTIVITY LEVEL(CONSIDER YOUR CAREER/LIFESTYLE):
*
VERY LITTLE MOVEMENT, DAILY
I WORKOUT 2-3X/WEEK
IM FAIRLY ACTIVE 4-6X/WEEK
I CURRENTLY ONLY DO CARDIO
I TRAIN/LIFT 7X/WEEK + CARDIO
WHAT IS YOUR CURRENT CAREER/JOB?
ARE YOU SEDENTARY OR IS YOUR JOB LABOR INTENSE?
*
SEDENTARY, OFFICE JOB
MORE STEPS ONLY ON CERTAIN DAYS
VERY LABOR INTENSE JOB,HIGH ACTIVITY
Do you own an Apple Watch/fit bit (step tracker, HR monitor purposes):
Please put yes or no.
CURRENT DIET:
*
*Please list exact meal plan or portion sizes and what foods. if no current diet, type N/a and list what you eat.*
Any allergies/restrictions/disease to further discuss via consult call?
Yes
No
TRAINING/LIFTING EXPERIENCE:
*
Please Select
BEGINNER
INTERMEDIATE
ADVANCED
SO-SO
ANY INJURIES/SURGERIES WE NEED TO BE AWARE OF:
*
YES
NO
IF YES, PLS EXPLAIN:
PLEASE FEEL FREE TO LIST ANY ADDITIONAL COMMENTS HERE OR INFORMATION THAT COULD HELP US, HELP YOU-RIZE :
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