Full Name
*
First Name
Last Name
Date of Birth
Email
start@yourjourney.now
What is your Instagram handle?
IE: @vyncentchau
What are some of your Fitness goals?
Fatloss, bodybuilding, confidence, strength & etc
What is your current body-weight in kilograms?
How much weight are you looking to lose up to?
Up to 5kg
Up to 10kg
Up to 15kg
Up to 20kg & more
Do you have a time frame in reaching your goal?
IE: 3, 6 or 9 months
Which style of coaching do you prefer?
Training and/or Nutrition Programs Only
Online Coaching & Weekly Check-Ins
Face to Face PT
Group Classes
How committed are you in reaching your goal(s)?
It is all I can think about
Committed enough
Somewhat committed
Meh
How often do you train if you do currently train?
I have never trained before
1-2 days per week
2-3 days per week
4+ days per week
What kind of budget are you working with?
$55-80 per week
$80-100 per week
$100-120 per week
$120-150 per week
What does your current diet look like?
A full breakdown of your current eating habits would help me understand you better! Example: breakfast, lunch, dinner or I only eat two meals a day and it consists of fast food due to work, etc.
What is or has been the biggest challenge in reaching your fitness goal(s)?
Nutrition
Training
Time
Finances
Do you have someone to do to the challenge with? If so, would you refer them? It is easier to lose weight together than it is alone!
Yes!
Nope, going solo this one.
Any additional comments or questions?
Thank you! I will get to you shortly as my client base is quite full at the moment.
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