Unbroken Coaching/Training
What is your full name?
Where are you from/currently located?
What is your weight?
What is your height?
What is a good email to contact you at?
What is a good phone number to contact you at?
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Give me a brief overview of your current fitness goals:
Do you have a timeframe for reaching your goals? If so, explain.
How often do you weight train?
How often do you do cardio?
Have you ever followed a specific exercise regimen?
If you have a current training structure/regimen, walk me through it (training split, exercises, technique, reps, sets, etc.):
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What's your history and current stance with nutrition like?
Are there any healthy foods that you enjoy eating? What foods do you dislike and need to avoid? Any food allergies/intolerances?
Any daily supplements or medications?
Do you own a food scale?
Please Select
yes
no
Walk me through a full normal day in your life (Meals, work, schedule, family, gym everything):
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Any current injuries? Any in the past?
What's your overall health history like and are there any health concerns?
Any normal day to day movements that cause pain?
Do you drink alcohol?
Please Select
yes
no
Do you smoke or consume THC?
Please Select
yes
no
Do you smoke tobacco?
Please Select
yes
no
What do you do for a living?
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How motivated are you towards your health and fitness goals? (on a scale 1-10)
How much priority has health and fitness had in the past? (on a scale 1-10)
Do you have access to a decent gym? If so, what kind of equipment does it provide?
Have you ever worked with a personal trainer or coach before?
Please Select
yes
no
Which of these services best describes what are you most interested in?
Please Select
Online Coaching (nutrition + training)
1:1 Personal Training (Fox Fitness)
1:1 Personal Training + Online Coaching
Do you have competitive aspirations in bodybuilding/physique or powerlifting? Or are currently a competitor?
Are there any other details that you would like to share with me?
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For competitors/clients that have up to date check-in photos, please attach here:
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For competitors/clients that have up to date blood work, please attach here:
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