ABOUT YOU FORM

ABOUT YOU FORM

This "About You" form is all about getting to know you and understand your goals.

Once you have submitted the form, we will follow-up with you via the email address you provide.
Full Name

First NameLast Name
Email Address
example@example.com
Phone Number (optional)
Please enter a valid phone number.Format: (000) 000-0000.
Social Media Handles (optional)
Date of Birth

MonthDayYear
Date
Age
Gender
Height
Current Weight (lbs)
Occupation
Current Activity Level
Do you have any sort of step/activity tracker?
What are your health & fitness goals? (be as specific as you can)
When and where do you plan to exercise? (If not a commercial gym, specify all the equipment you have available)
What do you foresee being the biggest challenge(s) for you in regards to reaching your goal?
Are there any other areas outside of your physical health and fitness that you are looking for accountability?
Please list any food allergies or food restrictions (if applicable)
Please use this space to tell us anything else you would like us to know :)
Please list any physical restrictions or exercises/movements you CANNOT perform and the reason why
Do you currently use any type of non-food supplements? (vitamins, minerals, herbal supplements, pre-workout, protein powder, performance enhancing supplements, amino acids, fat burners, etc). If so, please list below or write "NO SUPPLEMENTS"
Are you currently taking any prescribed medications for a chronic medical condition? If so, please list them below. If the answer is "NO" then just write "NO" below
Have you ever been diagnosed with a chronic medical condition? If so, please list them below. If the answer is "NO" then just write "NO" below
Have you ever experienced any episodes of chest pain or dizziness during rest, or while performing exercise? If YES, please contact me as you will likely need release from doctor, if NO, just write "NO"
Has your doctor ever said that you should only do medically supervised physical activity? If YES, please contact me as you will likely need release from doctor, if NO, just write "NO"
Do you currently have (or have had in the last 12 months) any bone, joint, or soft tissue (muscle, ligament, tendon) problem that could be made worse by becoming more physically active? If yes, please explain below. If NO, just write "NO"
Do you have any other medical conditions, health concerns or injures/illness that would prevent you from safely engaging in unrestricted physical exercise, dietary changes, and lifestyle changes? If yes, please explain below. If NO, just write "NO"
How did you hear about us? (Social media, friend, search engine, referral, etc)

Calus Coaching LLC Program Agreement & Disclaimer
Name

First NameLast Name
By completing and submitting this form, you agree to the following:

I am voluntarily participating in a custom coaching program provided by Calus Coaching LLC.

I will be receiving instruction, information, suggestions and guidance relating to exercise, nutrition and overall health and wellness.

I understand that acting on any instruction, information, suggestions and guidance provided by Calus Coaching LLC is completely voluntary.

I understand that I am not being PRESCRIBED a program, but rather being PROVIDED AND PARTICIPATING IN a program that contains instruction, information, suggestions and guidance that is designed to help me reach my goals safely and effectively.

I agree that Calus Coaching LLC owns the rights to all resources, documents and programs that is provided in exchange for program purchase.

I agree that I will not share, sell, rent or redistribute in any way, any of the documents, resources or programs provided to me in exchange for purchase.

I understand that any nutritional information, suggestions and guidance, sample meal plan structures, calorie and macro nutrient targets are all for informational purposes only and have not been prescribed or approved by your physician, registered dietitian or any healthcare professional and should be treated accordingly.

I understand that the instruction, information, suggestions or guidance are not intended to diagnose, treat, cure or prevent any disease or specific medical condition(s) or complaint(s).

I represent and warrant that I have no physical or mental health conditions that would prevent my safe participation in this program. I attest that I have disclosed all known medical conditions, injuries, illness, constraints or other conditions that need to be considered during my training program.

I agree that if I develop any new health conditions, injuries, illness or other concerns at any time during this program that I will seek medical attention with a medical professional and notify staff of Calus Coaching LLC.

I am willingly and voluntarily assuming any risks, injuries or damages, known and unknown, which I might incur as a result of participating in this program, and agree that Calus Coaching LLC will not have any liability for such injuries or damages, to the maximum extent allowed by applicable law.
By choosing "Medically Cleared by Physician", I also attest that I have been cleared by a physician to engage in unrestricted physical exercise, dietary changes, and lifestyle changes.
By choosing "I Understand and Accept", I am willingly and voluntarily assuming any risks, injuries or damages, known and unknown, which I might incur as a result of participating in this program, and agree that Calus Coaching will not have any liability for such injuries or damages, to the maximum extent allowed by applicable law.
By choosing "I Understand and Acknowledge", I acknowledge and agree that Calus Coaching is not staffed by medical professionals and does not provide any medical advice, suggestions, diagnoses or treatment for any medical condition, disease, injury or illness. I agree that if I currently have or develop any medical condition or concern that affects my safe participation in this program, I will seek the help of a medical professional and contact Calus Coaching staff.
Please sign below to confirm that you have read and understood the entirety of this document
Should be Empty: