Initial Assessment and Intake Questionnaire

1
Apply for My 1-on-1 Coaching Program

Are you ready to transform your body and achieve your fitness goals? This is your opportunity to apply for my exclusive 1-on-1 coaching program.

Why Apply For My Coaching?
Over the past year, my coaching has empowered over 200 men and women to build muscle, lose fat, and achieve the body of their dreams—all while enjoying the foods they love.

Important Note:
Applying does not guarantee admission. Limited spots are available, and we prioritize those who are truly committed to making a change.

This Program Is NOT For:

Individuals who are unemployed or lack financial resources.

Those seeking a cookie-cutter plan.

People who believe they know everything and are not open to coaching.

Anyone unwilling to stay disciplined and commit the necessary effort.

Individuals under the age of 18.

Are You Ready?
If you are serious about transforming your life, building muscle, and losing fat while still enjoying your favorite foods, then take the next step and apply now. This is your chance to join a community of motivated individuals who are making real, lasting changes.

Limited spots mean we are looking for dedicated and coachable individuals ready to commit to their fitness journey.

Take action today and start your transformation!
2
What is your FIRST and LAST name?* This field is required.
First Name
Last Name
3
What is your age?* This field is required.
4
Where are you currently located?* This field is required.Country or State
5
How did you learn about my coaching program?Referral, Social Media, In-person, Other
6
What are your two most important fitness goals right now?* This field is required.
7
What is the number one thing holding you back from reaching these goals?* This field is required.
8
What is the main thing you struggle with when it comes to fitness?* This field is required.
9
Please attach a photo of your current physique from the front standing in workout gear so I can serve you best (ANY PICTURE WORKS, IT DOES NOT HAVE TO BE TAKEN NOW)* This field is required.THESE ARE 100% CONFIDENTIAL AND WILL NOT BE SHARED WITH ANYONE BESIDES COACH ALIM! THESE ARE IMPORTANT FOR ME TO SEE HOW I CAN HELP YOU SO DON'T BE SHY
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10
How many days per week are you currently exercising right now?* This field is required.
0-2
3-4
5+
11
How many days per week are you currently eating out?* This field is required.
0-1
2-3
4+
12
Do you consume alcoholic beverages regularly (once or more per week)?* This field is required.
Yes
No
13
What do you do for work and how does it affect your fitness journey?* This field is required.
14
If accepted, how will joining the For Fathers Fitness Program and reaching your goals change your life?* This field is required.
15
My program is NOT a one size fits all, cookie cutter, cheap program. My program IS a hands on customized training experience made for YOU, YOUR NEEDS, and YOUR GOALS. Why do you want to join the program and work with me as your coach?* This field is required.
16
How prepared are you financially, physically, and emotionally to invest in transforming your life right now?* This field is required.
I have the financial resources, I am READY TO DO WHATEVER IT TAKES, and I am READY TO REACH MY GOALS!
I am not financially ready to invest in myself.
17
Are you at a point right now where you are ready to commit to changing your life for the better?* This field is required.
YES. I am READY. I AM Worth It!
No I am not ready.
18
Have you been diagnosed (currently or in the past) with any significant medical condition(s) and/or injuries?* This field is required.
YESNO
19
If you answered YES above please provide the details here. Type N/A if not applicable* This field is required.
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Large
Normal
Small
Ok
Ok
20
What is your email?* This field is required.
example@example.com
Email Verified
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Please check your mailbox and paste the code below to complete verification
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