Coaching application

1

Full Name* This field is required.Fist and last name

First Name

Last Name

2

Email* This field is required.

example@example.com

3

Phone Number

Area Code

Phone Number

4

What is a good time to reach you?

5

Height

cm

6

Weight

KG

7

Age

years

8

What do you do for a living?

9

Whats the activity level at your job?

None (seated only)

Moderate (light activity such as walking)

High (heavy labor, very active)

10

Do you follow a regular working schedule, do you work days, afternoon or nights?

11

How often do you travel?

Rarely

A few times a year

A few times a month

Weekly

12

Please list the physical activities that you participate in outside of the gym and outside of work

13

If you have any diagnosed health problems list the condition(s).

14

If you have any injuries, please list them.

15

Are you experiencing any stresses or motivational problems?

Yes

No

16

What is your goal with your training? Why?

18

How often are you willing to train a week to reach your goal?

19

Have you trained with a personal trainer before?

Yes

No

20

What kind of training did you do?

21

How often do you want Coaching Sessions a week?

Please Choose

22

What are your expectations on me as your coach?

23

How often are you already training?

Every day

A few times a week

Every once in a while

Nothing at the moment