NDVR PERFORMANCE
COACHING APPLICATION
Name
First Name
Last Name
Details
Email Adress
Phone number
Sex
Date of birth
State
Coaching level you are interested in?
PREMIUM - Fully Inclusive Coaching
LIMITED - Nutrition Only Coaching
LIMITED - Training Only Coaching
FOUNDATION - Entry Level Coaching
Are you interested in a free phone consult?
Yes
No
If yes please record a time/times that best suits you.
How often do you train/intend to train per week?
1-3 sessions per week
2-4 sessions per week
3-5 sessions per week
4-6 sessions per week
As many as necessary
How experienced are you when it comes to training?
no experience
some experience
moderatley experienced
very experienced
Does anything inhibit your ability to train? If yes, please explain
What time of day do you train and roughly how long do you train for?
How would you rate your sleep quality?
poor
average
good
very good
How many hows of sleep do you get on average?
Less than 4 per night
4-5 hours per night
6-7 hours per night
more than 8 hours per night
How would you rate your nutritional experience?
no experience
some experience
moderatley experienced
very experienced
Do you have experience with/can you do any of the following?
Flexible dieting
My fitness pal tracking
Calorie banking
Meal planning
How adherent to your nutrition would you be on a weekly average?
no adherence
0-25% adherence
25-50% adherence
50-75% adherence
75-100% adherence
How many meals do you consume/would you like to consume on a daily basis?
under 3 meals per day
3-4 meals per day
4-5 meals per day
over 5 meals per day
What has your nutrition looked like lately? Please give brief example below
How committed overall would you rate yourself to achieving your goals? Be honest!
not committed
little commitment
moderately committed
Very committed
Do you have a goal/goals in mind for you to work towards?
Yes
No
If yes, please record them below. Be as specific as you can/want!
Why would you like to work with NDVR Performance?
Do you have any extra questions or comments for NDVR Performance?
Thank you for your application!
Brad will be in touch with you very soon!
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