COACHING ENQUIRY FORM
Welcome to the team!
Client Details:
Full Name
*
First Name
Last Name
Sex
*
Please Select
Male
Female
Date of Birth
*
-
Month
-
Day
Year
Date
Current Weight (KG)
*
Height (CM)
*
Email Address
*
example@example.com
Instagram Handle
@ExampleInsta
Occupation
*
What job do you do?
WhatsApp Number
Please provide me with a number to keep in contact over WhatsApp
Main reason for enquiry?
*
Tell me about what prompted you to take on coaching?
How did you hear about us?
Please Select
Referral
Social Media
Business Card
Other
Please Specify
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Lifestyle and Training
What does your week look like?
Describe your current lifestyle, what does your current routine look like day to day? Address anything you feel you need to
Be as open and descriptive as possible!
How many hours of sleep do you get per night?
0-3 Hours
4-5 Hours
6-7 Hours
8+ Hours
How many steps do you get a day?
>1000
1001-3000
3001-5000
5001-8000
8001-10000
>10000
Not too sure
How many Litres of water do you get a day?
0-1 Litre
1-2 Litre
2-3 Litre
>3 Litre
What is your usual training time?
This will help me place your pre and post gym food
What is your current training age?
Years spent training.
What is your current level of gym experience and current training Monday to Sunday?
Be as descriptive as possible!
What are your aims with training, what do you want to achieve?
Is it sport specific, or just a look and feel good factor?
Training capabilities, how many times are you able to train? (be realistic)
How many times a week are you able to train?
With injuries in mind if any, please do address movements/exercises that you physically cannot do and why.
This will allow me to individualize your programming even further.
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Nutrition and Current Intake
What are your current eating habits?
Do you currently track your calories yes or no?
Yes
No
Current supplements?
List whatever you take.
Current dietary preference
Vegetarian
Vegan
Pescatarian
No Restrictions
Do you have any intolerances, allergies and major dislikes?
Detail any of the stated in the box
What has your relationship with food been like over the years, feel free to address anything I'd need to know.
Be as descriptive as possible!
What does a typical day of eating currently look like?
If you are happy with my choices, then leave blank
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Motivations and Accountability
What drives you, and what support works best for you?
What is your current level of motivation to change?
1
2
3
4
5
1 = No Motivation 5 = Need to start yesterday!
What have you struggled with in the past in terms of starting coaching or getting into the gym?
Be as descriptive as possible!
What type of support have you had in the past that worked best with you?
How can I best support your journey?
When would you like your weekly check-in to be? (More availability may come with time, please do reach out!)
Saturday
Sunday
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Check-Ins
Check-ins run on a chosen day and will require both check in photo's (Front, Back and side profiles) scale weight (fasted on wake up) as well as some questions answered regarding intake over the week to provide me with as accurate representations of the progress made and the challenges faced so I can individualize the next steps in your journey. This is how check-ins are expected to look
Post Check-in
When pictures scale weight and questions have been answered, you will receive a loom recording via the in app messenger detailing any changes and updates regarding training, Nutrition and any comments on visuals which you can watch at your convenience. This feedback will always be provided on the day of the check-in and any questions or queries answered at any point!
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Closing Thoughts
Anything else to add?
Before we start your journey, are there any final thoughts or things you'd like me to know?
Payment, how and when is best for you?
What date and when (Monthly etc)
Signature
Thank you for the enquiry!
If you would like to ask anymore questions or need to discuss further message me directly on Instagram! Once onboarded please make it known that a 14 day pre warning of cancellation notice is needed to ensure direct debit payments are both stopped and service is not furthered beyond agreed cancellation date, if not clarified then return of payment is not required. In addition in the nature of my business uploading transformation pictures is part of the process, by signing this form you are agreeing to the posting of transformation picture to business pages only as well as website.
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