Online Fitness Coach Application Form

ONLINE COACHING APPLICATION
E-mail Address:*
Name:*

First NameLast Name
Phone Number:

Area CodePhone Number
Why are you interested in online coaching? (check all that apply)*

Lose WeightGain MuscleImprove Overall Health & WellnessBodybuildingIncrease StrengthImprove Cardiovascular FunctionExercise ProgrammingExercise CritiqueDietary CoachingMeal Prep & PlanningBloodwork ReviewPosing RoutineOther
What is your current fitness level?

Advanced - AthleteActive - Exercise 3 or more days a weekModerate - Exercise occasionallyNone - Not very active
Do you have any current exercise limitations or Injuries?

NoYes (please elaborate below...)
(Please provide detail if answered "YES" to previous question)
How would you rate your current stress levels? (1 being extreme and 10 being none)
How would you rate your average quality of sleep? (1 being poor and 10 being excellent)
What is your health & fitness related goal?*
How long do you think it will take to achieve this goal?
What level of accountability do you feel you require to meet your goal?

"All the help I can get!"Weekly Check-InsBi-Weekly Check-InsLimited Interaction
What is the greatest challenge you are currently facing in reaching this goal?
Have you worked with an Online Coach or Personal Trainer in the past?

YesNoOther
Thank you for applying!

We will follow up with the status of your application.

Please subscribe and follow JGFitCoach.
Should be Empty: