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Online Coaching - Lidia Fraser
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Gender
Female
Male
Email
example@example.com
Phone Number
Please enter a valid phone number.
Height
cm
Weight
kg
Goal Weight
kg
What is your typical schedule - daily/weekly?
How active is your job? (sitting, standing, walking, physical labor, etc.)
Do you have any diagnosed health problems?
Are you taking any medications? If yes, please list below.
What were your past struggles with exercise, if any?
Do you have any current/past injuries? If yes, please list below.
What is your daily activity level?
None
1
2
3
4
High
5
1 is None, 5 is High
What is your daily stress level?
Low
1
2
3
4
High
5
1 is Low, 5 is High
How does your current diet look like?
Low-fat
Low-carb
High-protein
Vegetarian/Vegan
No special diet
Please walk me through a typical day of eating. Including ALL drinks, meals, snacks, supplements and at what times you eat all these things. BE AS HONEST AND SPECIFIC AS POSSIBLE. *
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Next
How many times do you eat out a week? Please provide your go-to places
What are some of your favorite foods? *
What food do you dislike? *
Do you drink? If so, what do you drink? And how often?
Do you smoke/vape? If so, what do you smoke/vape? And how often?
What is your #1 fitness goal right now? *
What are your other fitness goals? *
Which of the following statements fit in with your goals?
Improved health
Improved endurance
Increased strength
Increased muscle mass
Fat loss
Other
What would be your short term goals? (1-2 months) *
What are your long term goals? (4-12 months) *
What are you currently doing to work on all your goals? *
What is your #1 struggle and how is it holding you back from your goals? *
How do you know starting coaching will help you achieve your goals? *
Why do you want to start now? Why do you want to make these changes in your health and fitness? *
How committed are you to reaching your goals and making a transformation, please state your readiness to change
Low
1
2
3
4
High
5
1 is Low, 5 is High
What are your expectations working together?
I am going to teach you how to achieve your goals in a way you can sustain them for LIFE without dreading the process to get there. Are you willing to invest your TIME and ENERGY into this program, and trust me to deliver the results you want? *
My coaching program is not a cheap *cookie-cutter* program. It's hands on 1-to-1 coaching tailored to your SPECIFIC goals and NEEDS. Why do you want to work with me? *
Anything else you think will be relevant...
Did a friend refer you to me? If so, who? *
OPTIONAL: If you would like to do before/after photos, please attach a front photo of your current physique. *
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Please attach a back photo of your current physique. *
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