Online Coaching: Questionnaire

Full Name

First NameLast Name

Email

example@example.com

What is your Instagram handle?

Phone Number

Please enter a valid phone number.Format: (000) 000-0000.

Age

years

What do you do for a living?

(optional)

What is your main fitness goal?

What made you decide to get a Fitness Coach?

Please rate your readiness for change.

If you have any diagnosed health problems list the condition(s).

If you have any injuries, please list them.

Do you have a hard time staying disciplined?

Describe your current diet:

What are you looking to achieve?

What is your goal with your training?

(optional)

TImeline for achieving your goal.

Rows	8 WKS	16 WKS	24 WKS	32 WKS	40 WKS	1 YEAR
NOW

How often are you willing to train a week to reach your goal?

From 1-10, rate how motivated you feel to embark on your fitness journey.

Do you currently work out?

If yes, how often?

PLEASE NOTE: Only 2 online coaching slots will be available each month.

With that being said, those clients who are serious about making changes in their life and are committed to sticking to a program will be prioritized.

Online Coaching provides continuous support to clients in terms of Nutrition, Health & Training. Working alongside a Fitness Coach will ensure that all your goals are being heard, and that an adequate and personalized program is created for you in order to achieve those same goals.

If a client needs help or guidence, they can reach out at any given time.

Important: You will need a certain degree of self-discipline in order to achieve success with Online Coaching. Although you will be provided with programs, support, guidence, structure and much more, it is still up to YOU to put in the work and get things done.

If you are someone who struggles with discipline, online coaching might not be the best fit for you!

I AGREE TO THE ABOVE TERMS & CONDITIONS!