Rebound Coach Application Form

New Client Application & Consultation

Please complete this form, so I can best help you. I will aim to contact you within 48hrs of submission with the next steps.
Date

MonthDayYear
Date
Name

First NameLast Name
Email
example@example.com
Phone Number

Area CodePhone Number
Height (cm's)
Weight (kg's)
Age (years)
What are you post Long COVID training goals?

Other
Do you have any specific goals e.g. return to competitive sport, or a running event?
What is your sport and training background?
Prior to Long COVID, how often were you training and what were you doing?
Has your mindset to training changed because of Long COVID? If yes, please explain.
What emotional, physical or situational barriers do you require help with?
What if any movement or exercise are you currently doing? And how has your body responded?
Are you confident that you are ready for a progressive exercise program? If yes, please explain why. If no, please provide more information.
Compared to now, how do you want to feel and what do you want to be able to do, by the end of your 12 week rebound program?
Finishing this statement below...
Finish this statement too. If someone advised me to invest £500-£700 in my health and fitness, I would...
What equipment do you have access to?
On which days do you plan to workout?
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New Client Application & Consultation