Online Coaching Consultation Questionnaire
Fill out the survey below and let's see if we can work together!
Full Name
First Name
Last Name
Gender
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Other
Email
example@example.com
State
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Country
Please Select
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Date of Birth
Please select a month
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Month
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1
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Day
Please select a year
2025
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2006
2005
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2002
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1927
1926
1925
1924
1923
1922
1921
1920
Year
Age
years
Height
Ft
Weight
lbs
Instagram
What services are you interested in?
Men's Physique Contest Prep
Off Season Coaching
Lifestyle Coaching
Posing
Do you have competition experience?
Yes, I have prior experience
No, but I am interested in joining a competition
No, I have no competition experience
Not interested in competing
Whats the activity level at your job?
None(seated only)
Moderate (light activity such as walking)
High (heavy labor, very active)
Do you follow a regular working schedule, do you work days, afternoon or nights?
Please rate your level of discipline with sticking to diet and training
1
2
3
4
5
Please rate your motivational level to do what it takes for reach your goal.
1
2
3
4
5
Your current diet could be best characterized as:
low-fat
low-carb
high-protein
Vegetarian/Vegan
No special diet
TImeline for achieving your goal.
12 WKS
16 WKS
24 WKS
32 WKS
40 WKS
1 YEAR
NOW
If you have any diagnosed health problems list the condition(s).
If you have any injuries, please list them.
How often are you willing to train a week to reach your goal?
Have you trained with an online coach before?
Yes
No
What are your expectations on me as your Online Coach
Submit
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