Consultation Information

1

Name

First Name

Last Name

2

Email

example@example.com

3

Phone Number

Please enter a valid phone number.

4

Gender

Male

Female

Other

5

What are your primary fitness goals?What improvements would most make you happy to see if you have no specific "goal"

Strength

Muscle Mass

Fat Loss

Fitness

Flexibility/ Range of Motion Control

6

Are there any specific milestones in your mind that you are preparing for?

7

How committed are you to achieving your goals on a scale of 1-10?

8

Have you previously worked with a coach (of any kind) to help make changes in your life?

No

Yes (a little bit)

Yes (a lot)

9

What methods (if any) have worked with you in the past to make positive changes?

10

What (if anything) do you know does NOT work for you when trying to make positive changes?

11

Do you have any existing / recent injuries or health / medical conditions that could affect your ability to follow a program?If this has already been covered in a consultation then a simple one or two word reminder is sufficient

12

How many days per week are you willing to receive tasks or follow up's regarding your goals?

1-2 days per week

3 days per week

4 days per week

5 days per week

13

How much time would you be able to dedicate to specific tasks regarding your personal development?

30-45 minutes

1 hour

1-1.5 hours

2 hours +

14

Can you commit to a minimum of 3 months?

Yes

No

I have some limitations (short holidays etc) but I believe I can work around them

15

Is there anything you would like to share or ask?

16

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17

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18

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19

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20

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21

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