1-1 coaching consultation

1

Name* This field is required.

First Name

Last Name

2

Age* This field is required.

3

Instagram* This field is required.

4

Mobilie number

5

Occupation* This field is required.

6

Do you have any gym experience?

Yes

No

7

Rate your lifting experience

1
2
3
4
5

No experience

Very experienced

8

Are you involved in any sports?

Yes

No

9

Do you have any children? if yes, state how many

10

How many times per week do you exercise?

11

How many times per week can you commit to training?

1 x session per week

2 x sessions per week

3 x sessions per week

4 x sessions per week

5 or more sessions per week

12

What bad habits do you have that you need to change in order for you to achieve your goals?

13

State if you have any injuries or medical conditions.

14

How many hours sleep per night do you have?

15

Do you struggle with your diet / nutrition? If yes, state why

16

What are your two main goals that you want to work on with me? For example improve strength* This field is required.

17

There are no shortcuts. Achieving a goal consists of effort and commitment. I am more than happy to help you, are you determined to make a change?

Yes

No