Coaching Application.
Please answer the questions below to give me a better idea of how I can assist and challenge you along your journey!
Name
First Name
Last Name
Email
example@example.com
DOB
 -
Month
 -
Day
Year
Date
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Instagram (if applicable).
Height (ft or cm)
Body Weight (KG/ lbs/ stone)
What coaching services are you currently looking for?
Online coaching
Coaching sessions at Shinpo Martial Arts
Ladies Kickboxing at Shinpo Martial Arts
What are you looking for to achieve during our time working together?
What inspired you to achieve your goals?
What is your current training regimen? (Write "N/A" if you currently don't have one).
On the scale of 1-10, how motivated are you currently to achieving your goals?
1 being unmotivated and 10 being highly motivated.
Are you familiar are you with the app, MY Fitness Pal?
Yes!
Sort of...
No...
If you are currently tracking your food, describe what you eat in a day.
Don't have to go into two much detail 👌
Do you have any dietary restrictions or allergies?
Yes
No
If yes, please explain.
Would you rather follow a meal plan or Have diet advice and nutrition protocol to help you be more flexible and make healthier choices?
I just need some guidance
I need a meal plan
Na, I don't need help with me nutrition and diet.
Are you currently taking any medications or supplements that could affect achieving your fitness goal?
Are you currently dealing with any past, present or recent injuries/ limitations?
Yes
No
If so, please explain.
Do you own a fitness tracker (Samsung, Apple watch, fit bit etc)
Yes
No
How would you describe your daily activity? (occupation, daily steps, sedentary, hard labor).
How is your relationship with the scale?
Motivating!
Nice to me on keep track
Uplifting
Upsetting
Depressing
Anything currently occurring in your life that you think will hold you back from achieving your goals?
Destiny Strength has a online presence to help people become their best self(social media, website etc). Would you concent to having pictures and videos of your session(s) on these platforms?
No, keep me out of it!
Yeah...just don't show my face...
Yes, sure!
How did you hear about Destiny Strength?
Word of mouth
Facebook
Instagram
Google search
When is the best to contact you for your introduction call?
Are you ready to discover the new healthy, stronger, more confident version of yourself?
YESSSSS!
Yes!
Of course, lets get on with it!
Your Signature
Date
 -
Month
 -
Day
Year
Date
Trainer Signature
Date
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Month
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Day
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