Online Coaching Form (website)

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Welcome to my Coaching Application!

Welcome to my Coaching Application!

Answer this form to the best of your abilities so I can understand you and your goals in greater detail, and I will get back to you within 24 hours.If you don't receive further information please contact me at sin@scperformancecoaching.com and I will get back to you ASAP.

30Questions

1
Name* This field is required.
First Name
Last Name
2
E-mail* This field is required.So I am able to contact you.
example@example.com
3
Height and Weight
4
Age* This field is required.
5
Do you work a job that requires physical labour? If so, list the job and hours per week worked
6
Any injuries or health concerns?* This field is required.
7
Have you/do you train at the gym currently?* This field is required.And how long for?
Yes, Advanced (3+ years)
Yes, Intermediate (1-3 years)
Yes, Beginner (0-1 years)
I've trained in the past
No
8
Give me a detailed overview of your goals* This field is required.
Huge
Large
Normal
Small
Ok
Ok
9
Why are these goals important to you? * This field is required.Feel free to go deep.
Huge
Large
Normal
Small
Ok
Ok
10
What are some areas you'd like to improve on? (mindset, nutrition, training etc)* This field is required.
11
Are you currently playing any sports? which sport and what level. (If no, skip)
12
Is there an event that you are training for?
13
Ideally, how many times a week would you like to train?
14
How are your energy levels throughout the day?* This field is required.
Zero energy
Low
Normal
High
Extremely high
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Zero energy
Low
Normal
High
Extremely high
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15
How many hours of sleep do you get?* This field is required.
16
Do you require energy drinks to workout or function?* This field is required.
17
Currently taking any medications?* This field is required.
18
Do you drink alcohol? (if yes, how many times a week?)
19
Do you smoke?
Yes, regularly
On occasion (nights out)
No
20
How would you rate your day-to-day stress levels?* This field is required.
Monk level
Low
Normal
High
Extremely high
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Monk level
Low
Normal
High
Extremely high
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21
What is something you really want to fix in your lifestyle and habits?
22
How would you rate your diet?* This field is required.
Poor
Average
Good
Excellent
23
What would you like to change about your diet?
24
How many litres of water do you drink in a day?
25
What do you normally eat in a day?
26
What are some foods groups that you would like to consume more of? (vegetables, proteins, fruits etc)* This field is required.
27
Do you take any vitamins? (if so, what?)* This field is required.
28
How did you hear about us?* This field is required.
29
Terms and Conditions* This field is required.
30
Please sign off your terms and conditions* This field is required.
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