Train with Coach Kay
Name
*
First Name
Last Name
Preferred pronouns
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Email
*
example@example.com
Are you interested in virtual, in person training or programming only? (in-person training located in LA)
*
Are you training solo or interested in partner/group training? (discounts available for partner/groups)
What are your current/future fitness goals?
*
Improved health
Improved endurance
Increase strength
Increase muscle mass
Body composition
Fat loss
Athletic training/sports prep
Provide more specific details on your fitness goals.
*
At what time during the day would you prefer to train?
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Early morning (5am-8am)
Morning (9am-noon)
Mid-day (Noon-4pm)
Afternoon (4pm-7pm)
Evening (8pm-10pm)
Night (9pm-midnight)
Programming only
How soon are you ready to start training?
*
Are you currently exercising/ strength training regularly (2-4x week)
*
Yes
No
Other
Daily activity (Occupation)
*
Sedimentary lifestyle (desk job, work from home, etc.)
Active (host/hostess, coach, ride-share, deliverer)
Strenuous (construction, landscape, etc.)
Hybrid (half home/office, manager, receptionist, librarian)
Other
What physical activity (outside of strength training) do you participate in? (ex. basketball, tennis, yoga/pilates, etc.)
*
Any existing diagnosed health problems? List all.
*
Any prior or existing surgeries, injuries, chronic pains? List all.
*
Your current diet regime
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Low-fat/low carb
High-protein/bulking
Vegetarian/ pescatarian/ vegan
Fasting/ Keto
No special diet
Rate your readiness for personal training
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1-3
3-5
5-7
7-10
Have you trained with a personal trainer in the past?
*
Yes
No
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