Online Coaching Application Form
Chloe Pluck Personal Trainer
Full Name
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First Name
Last Name
E-mail
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example@example.com
Phone Number
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-
Area Code
Phone Number
Age
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What is your main reason for contacting myself for online personal training?
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Please tell me more about your training history and experience with the gym so far?
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What kind of training do you enjoy most? (E.g. HIIT workouts, weight training, etc)
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How many days per week do you train currently?
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Please list 3 changes you would like to see in your body and fitness? (E.g. Improved cardiovascular fitness, increased strength, gain muscle on my legs, build upper body strength, etc)
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Are there any possible barriers that you could face that may challenge you to reach your goals?
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Do you have access to a gym?
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Yes
No
Other
Please list any equipment you have access to at home?
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On a scale of 1-10, how committed are you to achieving your goals?
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On a scale of 1-10, how would you rate your current daily nutrition?
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Do you know roughly how many calories you consume per day?
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Are you familiar with the APP MyFitnessPal?
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Yes
No
Other
Is there anything that could stand in the way of you changing your eating habits or following a nutrition plan?
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Do you have any specific health problems or dietary requirements that I should know about?
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Are you happy to complete weekly check ins and send progress pictures when required?
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Are you familiar with using the APP TrueCoach?
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Yes
No
Other
Is there anything else you would like to mention or anything you feel I should know?
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Submit
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