New Client Application Form

New Client Application Form

Please answer with as much detail as possible
Personal Information
Name*

First NameLast Name
Email address*
example@example.com
Contact phone number*
Age*
Biological sex*
Height (in cm)*
Morning weight (in kg)
Coaching
1-1 personal trainingOnline coachingGym induction
Goals
What motivated you to enquire about coaching?*
What is your desired outcome?*
What kind of support and guidance do you expect from me to help you achieve your goals?*
Are there any things that you feel may hold you back from reaching your desired goals?*
Lifestyle
What is your current level of experience with exercise?*
Do you have an active or sedentary job?*
How many hours of sleep do you get per night, on average?*
What are your current average steps a day if known?
Do you have any injuries at the moment?*
Diet
How would you best describe your diet right now? (What does a typical day of eating look like?)*
Are you currently following a particular diet? If so, can you give me some more details on how it looks?
Do you think your diet could be improved to help you achieve your goals and would you like guidance for this?*
Do you drink alcohol? If so, how often?*
How much water do you drink per day, on average?*
If I asked you to list your goals in order of priority (first goal is the most important), could you do that below? *
Final Note
Is there anything else you'd like to note here that will help me understand where your mindset is right now and what I can do to help you moving forward?
Thank you for filling out my enquiry form! I will be in touch as soon as possible to book in your FREE 30 minute consultation!
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New Client Application Form

Personal Information

Coaching

Goals

Lifestyle

Diet

Final Note

Thank you for filling out my enquiry form! I will be in touch as soon as possible to book in your FREE 30 minute consultation!