Online Coaching (Custom Program)

Online Coaching (Custom Program)
Program Description

The perfect balance between functionality and body aesthetic, my online training will offer functional fitness, bodybuilding for peak results broken down into 3 different categories:

Shape and Tone From Home – Designed to be done at home, we use what ever you have available to customize a plan centered around hypertrophy and attacking different energy systems to drop body fat, tone and build muscle

Move it before You loose it – We primarily focus on movement and furthering fitness and Through focusing on using a blend of full range Barbell, calisthenics, Kettle bell, and plethora of ther things to build functional strength, sclupt your body and increase your fitness for a great athletic Physique.

BUILD for the Thrill – Advanced programming for athletes looking to add muscle mass and overall strength in a safe and effective way. *BFTT* training is for the gym goer looking to power build Blending bodybuilding concepts with high intensity training concepts. This would be performed in a full gym setting, *BFTT* will get you in the best aesthetic and shape of your life!

I am super proud of you guys for taking the first step in your fitness journey. I'm excited to have you guys on the team.to have you guys join me on this journey towards a stronger, more confident you. This program is all about embracing the bodies that God gave us and working towards your own unique fitness goals. We are in this together and I'm so excited for your journey.
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Client Name

First NameLast Name
Birth Date

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Phone Number
Format: (000) 000-0000.
Email
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Please state if you have current/previous health diseases/issues.
Please state whether you take any medication.

Health & Lifestyle

Rows	Yes	No
Do you smoke?
Have you had any surgery?
Do you drink alcohol?
Are you using any additional vitamin or supplements?
Are you tracking your daily food intake?
Have you done organized sports before?
Do you feel pain while doing sports/exercise?

At which frequency you eat at night?

0

1

2

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4

5

0 is Never, 5 is Always
At which frequency you eat breakfast?

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1

2

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4

5

0 is Never, 5 is Always
What is your rate for your nutrition?

0

1

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5

0 is Poor, 5 is Excellent
How often can you exercise per week?
How many months will you do exercise?
StressDepressionBoredomHappinessHabitAnnoyance
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Early MorningsMorningsEarly AfternoonsAfternoonsEvenings
Development of musclesReducing the stressLosing body fatIncreasing the motivationTraining for an event/specific sportsOther
Release and Acknowledgement
I, {clientName}, hereby acknowledge that the information I've given above is complete and accurate. I understand all the risks and I accept all the responsibility for any undesired situations during training. I am informed that my information in this form will be kept confidential.

The fitness center has informed me that I am the only responsible party both for all the injuries during the fitness program and incorrect information. I release and discharge the fitness center trainers, administration and workers from any disclosure of my personal information in this Fitness Client Intake Form.

If any of my health, lifestyle or personal information/situation that may prevent my training is changed, I guarantee that I will inform the fitness center authorities immediately.
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Client Signature
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Online Coaching (Custom Program)

Release and Acknowledgement