Online Coaching Application Form
Destined Athletics x Warrior Aesthetics
Contact info
Name
First Name
Last Name
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Email
example@example.com
Instagram
@example
Intent
What type of coaching are you looking for?
Competition Prep
Lifestyle Coaching
Posing Coach
Why have you made the decision to seek coaching?
What’s your overall goal? What are you looking to gain out of this?
How serious are you in taking the defining steps in your bodybuilding/fitness/health journey?
Meh
1
2
3
4
I’m ALL in
5
1 is Meh, 5 is I’m ALL in
Metrics for Program Customization
Age
Gender
Female
Male
Prefer not to answer
Other
Height
Current weight
Goal weight
Resting Heart Rate (Apple watch or Fitbit)
How active are you on a daily basis?
Not at all
1
2
3
4
No off days
5
1 is Not at all, 5 is No off days
Please arrange the goals according to your priority.
History
Do you currently have an exercise/workout routine?
Yes
No
If so, please give details. Daily routine. What’s your split? How many days of the week do you go to the gym? Any cardio? Etc…
What are some obstacles you are facing with your current plan? Are there any lifts/exercises you struggle with?
What are the results you’ve experienced with your current plan?
Do you have any medical conditions or injuries?
Yes
No
Please specify
Please list any and all current medications and supplements you are currently currently taking, including PED’s if applicable.
Do you have any food or supplement allergies?
Yes
No
Please specify
What does your current diet consist of?
I’m READY!!
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