COACHING APPLICATION
Please fill in below
Name
First Name
Last Name
Email
example@example.com
Phone Number
*
Format: (000) 000-0000.
Goals
(Pick one or two that are most important to you right now)
What would you like to achieve through training with me?
Build muscle and improve strength
Improve overall cardiovascular fitness
Weight management
Sport performance enhancement (running, golf, etc)
Injury rehabilitation
Chronic condition management
Other (Training for something specific -Hyrox, half marathon, etc - Elaborate below)
Elaborate on the chosen goals above
(Example: I want to build muscle and improve strength, particularly would like to build muscle mass in arms and be able to shoulder press x amount)
What do you believe has held you back from achieving your goals previously?
Example: Time constraints, unrealistic expectations, lack of motivation, etc
Do you have any injuries/niggles I should know about?
Activity
How often do you exercise (currently)?
Zero
1-2 days a week
3-5 days a week
6-7 days a week
How many days can you realistically commit to exercising?
How much time can you realistically commit to a training session
Lifestyle
Occupation
Occupation induced activity
Mainly sitting
Mainly standing and some walking during the day
Standing or walking all day
Physically demanding job
Do you use a step tracker?
If yes, average daily step count
Would you like nutritional guidance ?
Yes
No
Tell me more
Do you have any questions for me?
Submit
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