1-1 Online Enquiry Form
Name
First Name
Last Name
Email
example@example.com
Tell me your reason for wanting to work with me?
What are your primary goals for training?
Fat loss
Get Strong/Toned
Improved Energy
Confidence and better mental well being
Hormonal Health and longevity
Why are these goals important to you?
On a scale of 1-10 how committed are you to make the changes to reach your goals?
Training History
New training
On and off
I'm consistent but need your guidance
What types of training have you done/ doing?
Do you currently have any injuries, pain, or limitations? - Please detail below
How would you describe your daily activity level outside of workouts?
I have a fitness watch/ tracker that I use
Mostly sedentary
Some walking/light movement
Active, Im very aware of my daily movement
How would you describe your nutrition?
Really good, I eat a balanced diet with lots of protein
It's ok but I need more guidance
Not good, I need help with this
Have you tried any "diets" in the past? And if so which ones?
Dietary preferences or restrictions:
Veggie/Vegan
dairy
Gluten
Other
How would you describe your sleep currently? And how many would average per night?
How would you describe your current stress?
What if anything could be holding you back?
Lack of motivation
I'm time poor
Support at home
Nothing I'm ready to go
How would you feel if you didn't make the changes you want?
Disappointed, I'm really motivated to start
Not great, but it'd be ok
Fine
How ready are you to invest in yourself?
Yes I'm ready
Not sure yet
Submit
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