APPLY FOR COACHING
Thank you for taking the time to fill out the ONLINE Best Bodies application. Our clients are fully committed to making a lifestyle change and we only coach those who are seriously ready to make that change. By answering these questions we can get to know you and your goals in more detail as well as see if you are a right fit for our Coaching Programs.
Part 1. Basic information
Full Name
First Name
Last Name
Gender
Male
Female
Date of Birth
Please select a month
January
February
March
April
May
June
July
August
September
October
November
December
Month
Please select a day
1
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Day
Please select a year
2026
2025
2024
2023
2022
2021
2020
2019
2018
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2016
2015
2014
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2012
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1920
Year
Age
years
Height
cm
Weight
KG
Email
example@example.com
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Part 2. Lifestyle Information
What do you do for a living?
Whats the activity level at your job?
None (seated only)
Moderate (light activity such as walking)
High (heavy labor, very active)
How did you hear about Best Bodies?
How often do you travel?
Rarely
A few times a year
A few times a month
Weekly
Describe your health, nutrition and mental goals as much in detail as possible
Part 3. Medical and Health Information
If you have any diagnosed health problems list the condition(s).
If you are on any medications, please list them.
What additional therapies are being undertaken for the given health problem(s)? If you have any injuries, please list them.
What is you current fitness and nutrition regimen?
Describe in detail what is keeping you from achieving your goals? What type of programs have you tried in the past?
Are you experiencing any stresses or motivational problems?
Yes
No
Has anyone of your immediate family developed heart disease before the age of 60?
Yes
No
Do any diseases run in your family?
Yes
No
Do you suffer from diabetes, asthma, high or low blood pressure?
Yes
No
Please list:
Are you a current cigarette smoker?
Yes
No
Your current diet could be best characterized as:
low-fat
low-carb
high-protein
Vegetarian/Vegan
No special diet
On a scale 1-10 how committed are you in reaching your goals..
1
2
3
4
5
6
7
8
9
10
What following goals does best fit in with your goals?
Improved health
Improved endurance
Increased strength
Increased muscle mass
Fat loss
What is your goal with your training? Why?
TImeline for achieving your goal.
Rows
8 WKS
16 WKS
24 WKS
32 WKS
40 WKS
1 YEAR
NOW
What king of services are you interested in using to achieve your goals?
Lifestyle Transformation
Contest Prep
Nutrition
Posing
ALL THE INFORMATION I HAVE GIVEN IS CORRECT
All the information on this form is correct and to the best of my knowledge. I have sought and followed any necessary medical advice. I understand that all the information given will be kept confidential.
Yes
No
Signature
Continue
Continue
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