Welcome to StrongHer
Please fill in all the details and I look forward to giving you the tools to becoming the best version of yourself!
Full Name
*
First Name
Last Name
Date of Birth
*
Please select a month
January
February
March
April
May
June
July
August
September
October
November
December
Month
Please select a day
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Day
Please select a year
2026
2025
2024
2023
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
1971
1970
1969
1968
1967
1966
1965
1964
1963
1962
1961
1960
1959
1958
1957
1956
1955
1954
1953
1952
1951
1950
1949
1948
1947
1946
1945
1944
1943
1942
1941
1940
1939
1938
1937
1936
1935
1934
1933
1932
1931
1930
1929
1928
1927
1926
1925
1924
1923
1922
1921
1920
Year
Age
years
Weight
In kgs
Height
Inches
Phone Number
Format: (000) 000-0000.
Email
example@example.com
What do you do for a living?
What has made you reach out? (What's happening with your body, energy motivation? )
What's the hardest part of how your feeling right now? (Mentally, physically, hormonally)
Do you have gym access?
What's your current training like if any?
None
Walking
Gym- based
At home
Other
Whats you're daily activity level?
none(sedentary, seated job, all day)
Mostly sedentary, (seated all day small amount of walking)
pretty sedentary, seated, 1 to 3 workouts per week
Somewhat active
Active (Physical Job, 10k steps per day, 1 to 3 workouts per week)
Highly active (Physical job or 10k steps, or seated job and 4to 6 workouts per week)
Very Highly active (Physical Job, 10k steps, 4 to 6 workouts per week)
Highly active (10k steps or more, 5 workouts per week)
Extremely Highly active (12k steps or more, 5 to 6 intense training sessions per week)
Please state if you are advanced, experienced or a Beginner?
Give detail
Any injuries, pain or medical conditions I should know about?
What time of the day do you feel best for training
Hormones and health, tick anything you're currently managing or suspect you may be dealing with
Perimenopause
PMDD
Endometriosis
PCOS
ADHD/ADD
Fatigue/burnout
Anxiety/depression
Gut/bloating issues
Irregular cycles,hrt,menopause
Other
What would success look like to you in the next 3 to 6 months
What do you feel you need most right now
Structure and accountability
Strength and body composition
Hormones safe workouts
Someone who understands how my body works
Other
Have you worked with a coach before? If Yes, what didn't work?
Are you ready to invest your time, energy and finances into coaching that's built for your body right now?
Yes
No
Not sure, I'd like to have a chat
Other
Is it okay to post photos, share training videos to social media and/or progress photos? Please tag me in any training videos, meal prep @fisique_coaching
Yes
Post but(don@t tag me)
Only progress photos
Not at all
Are you okay with Progress Photos (taken personally)?
Yes
Only for PT to see
Only for personal tracking
No
Any additional information you feel I should know?
Emergency contact
Please enter a valid phone number.
Format: (000) 000-0000.
Submit
Should be Empty: