Coaching Application
Name
First Name
Last Name
Email
example@example.com
Phone Number
04xx xxx xxx
What are your current fitness and nutrition goals? Why and how would they make you feel if you achieved them?
For example: lose weight / body fat (how much), gain weight, build muscle, improve overall health, move better, have more energy, feel more confident, athletic performance etc.
On a scale of 1-10, how committed are you to achieving your goals?
Not very
1
2
3
4
5
6
7
8
9
Extremely
10
1 is Not very, 10 is Extremely
Have you tried in the past (or recently) to change your habits, training, nutrition and/or body composition and what stopped you from continuing? Have you worked with a coach before?
Have you tracked your macros / calories before & do you know how?
Yes
No
Somewhat
Current height (in cm) and body weight (in kg)
Do you have any pre-existing injuries, medical conditions or exercises that an exercise professional has said that you cannot complete, that may affect training? If yes to any of these, please explain in detail.
Outline your current eating habits. What does a full day of eating look like for you?
(If applicable) What does your current training program look like? How many days per week are you training?
How active is your lifestyle and career?
Sedentary (little or no exercise)
Lightly Active (light exercise/sports 1-3 days per week)
Active (moderate exercise/sports 3-5 days per week)
Very Active (manual labour job, hard exercise/sports 5+ days per week)
Anything else you would like to tell me
Thank you for your submission! I will be in touch as soon as possible and can't wait to start working with you.
In the mean time, follow me on Instagram @brettgherardi
Submit
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