COACHING APPLICATION FORM
Fill in all sections as accurately as possible - this helps me build the right program for you.
Personal Details
Name
*
First Name
Last Name
Date of Birth
*
/
Day
/
Month
Year
Date Picker Icon
Gender
*
Please Select
Male
Female
Other/Prefer not to say
WhatsApp Number
*
-
Area Code
Phone Number
Instagram Username
*
Email Address
*
Used to share your documents, resources & payments.
Package Selection
Which coaching package are you interested in?
*
Elite Coaching: £150/month
Lifestyle Coaching: £100/month
12-Week Transformation: £225 one-off payment (non-refundable)
Would you like to book in a Google Meet Call before you sign up?
*
Yes
No
Goals & Physical Stats
What are your short-term goals?
*
Think 1-3 months ahead.
What are your long-term goals?
*
Thin 6-12 months ahead.
Current height
*
Current weight
*
Please can you not submit weight in stone.
Training & Lifestyle
How many days per week can you commit to training?
*
Please Select
1-3 days
3-5 days
5-6 days
7 days
What is your current training experience level?
*
Beginner (less than 1 year)
Intermediate (1-3 years)
Advanced (3+ years)
Other
What's do you currently track?
*
Calories only
Macros (Protein, Carbs & Fats)
Steps/Activity
Bodyweight
Nothing currently
Other
What is your current occupation and what hours do you work?
*
This helps me plan your training & nutrition around your life.
Do you have any injuries or health conditions I should be aware of?
*
Additional Information
Have you ever used, or are you currently using, PEDs (Performance Enhancing Drugs)
*
No
Previously used - please specify below
Currently using - please specify below
If yes, please complete below:
Why do you want a coach, and why now?
How did you hear about me?
Please Select
Instagram
YouTube
Referred by client/friend
Other
Do you consent to your progress photos or results being shared on social media?
*
Yes, I consent.
No, I do not consent
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