1:1 Consultation Form

Date

Name

First NameLast Name

Email

Height (cm's)

Weight (kg's)

Age (years)

Occupation

What online coaching services are you interested in?

My main goals are focused around

Other

Would you consider yourself beginner, intermediate or advanced with weight training?

What is your physical activity level?

Average daily step count (if known):

How many days per week do you currently train and what does each session involve? (weights, cardio, classes etc.)

How many days per week would you like your program to be built around?

Where will you be training?

If you’re selecting a home gym program, what equipment do you currently have available? (e.g. dumbbells, barbell, weight plates, resistance bands, bench, machines, cardio equipment)

What time of day do you normally train? Do you train after a meal or fasted?

What is your current cardio regime, if any? What type of cardio have you found to work best for you?

What is your main physique focus right now? (For example: growing glutes, building strong quads, developing shoulders, improving overall shape, upper body strength, fat loss or a specific area you’d like to prioritise.)

Please list some of the exercises that you have found work well for you and list any exercises to avoid in the design of your program if required:

List your specific health and fitness goals from 1-3 in importance

What has held you back from achieving your goals in the past?

On a scale of 1–10, how committed are you right now?

Do you have a regular menstrual cycle?

Do you have any current or previous injuries or health conditions? Please explain:

Please provide a detailed example of a typical day of eating (meals, snacks, drinks, portion sizes if possible). If tracking, include calories/macros:

How long have you been at your current intake for and how has your weight loss and gym performance been at this intake? Are you maintaining, gaining or losing weight at your current intake? If so, what has been your rate of loss or gain?

How many untracked or "free" meals are you having on a weekly basis?

Are you currently taking any medication or supplements?

How many glasses or litres of water do you drink per day?

Do you have any concerns with your current eating habits? If yes, explain below. Do you have any barriers to healthy eating or changing your eating behavior? If yes, explain below.

Do you have any food preferences? Any food that you like or dislike?

Do you regularly suffer from any cravings? Please discuss in detail including craving frequency, food type and if you are aware of any triggers.

Do you drink tea or coffee regularly? If yes, how many standard cups of tea or coffee would you have per day?

Do you use artificial sweeteners or consume zero-calorie drinks?

Do you ever skip breakfast, lunch or dinner? If so, please provide details below

Do you drink alcohol? If yes, how many standard drinks per week?

How frequently do you consume takeaway or eat out at restaurants? Please provide details.

How much sleep are you getting? Please provide details on hours of sleep each night as well as details if its broken/unbroken sleep

How often do you have a bowel movement?

Are you comfortable taking progress photos weekly?

By submitting this form, I confirm that all information provided is true and accurate to the best of my knowledge. I understand and accept the risks associated with participating in fitness training and nutrition programs, and I agree that I am responsible for managing my own health and safety during training.
I acknowledge that my personal information will be kept confidential. I agree to release "Train with Taylor", including its owners, trainers and staff, from any liability arising from participation in training or the disclosure of personal information in line with standard practice.
I agree to notify Train with Taylor of any changes to my health, lifestyle or personal circumstances that may affect my training.
I understand that submitting this form electronically confirms my acceptance of the above terms.

1:1 Consultation Form

Digital Consent & Agreement