ONLINE CLIENT APPLICATION FORM

ONLINE CLIENT APPLICATION FORM

Please answer the following questions with as much detail as possible. The more detail provided, the better I can customize a plan for you.
Name*

First NameLast Name
Email*
example@example.com
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Gender*
Date of Birth*

MonthDayYear
Age*
Height*
Please note if your using INCHES or FEET
Weight*
In lbs
Instagram Handle*
City/Country/Time zone *

LIFESTYLE & SCHEDULE
What does a typical work week look like for you?*
(work hours, commute, activity level, etc)
How many hours of sleep do you get on average?*
How many days per week can you realistically commit to training?*
Current Training Split?*
How many days a week are you training & what are you training on those days?
Will you be exercising at home or in a gym?*
If you'll be exercising from home, please provide a detailed list of equipment that you have access to.
Any upcoming travel, events, etc., that may affect consistency or that you are using as a timeline?*
TRAINING BACKGROUND
Training Experience*
What are your favourite exercises/muscle groups to train?*
What are your least favourite/most challenging movements?*
Have you worked with a coach or followed a program before?*
If yes, please provide details of what you liked/disliked about it.
Injuries - Current or Previous*
Current Cardio*
How much, how often, measured heart rate (if applicable)
Any experience with PED’s*
If so, please describe current or previous cycle.

NUTRITION AND EATING HABITS
Current Daily Meals *
Please be as honest as possible. Include all drinks, foods, portion sizes, and how long you've been following this type of regimen. Feel free to provide a daily/three day food and drink intake log. More information the better.
Favourite Foods *
Provide a list of foods you enjoy eating / snacking on or indulging in. This includes all foods, healthy and unhealthy options (meals/snacks) . more info the better.
Foods you will not eat/choose to avoid?*
Food allergies & Dietary approach?*
List any intolerances or allergies & specific diets you may be following, e.g., gluten free, dairy free, low-FODMAP, etc.)
Do you track macros or calories currently?*
If no, have you in the past? Would you feel comfortable trying? If Yes, what are you current targets?
Would you prefer following Macros or a Meal Plan
Current water intake?*
Approximate litres/ ounces, etc...
How would you rate your digestion?*

1

2

3

4

5

1 is very poor, 5 is excellent
Current Supplementation?*
Include vitamins, prescriptions and general supplements
Are you on birth control? *

Goals & Motivations
Contest Prep/Off SeasonGain MuscleGain StrrengthLose Body fatBuild a better relationship with foodGeneral LifestyleOther
In your owns words, what are your goals in this program? Short term & long term?*
What motivated you to reach out for coaching?*
What do you struggle with the most when it comes to reaching your goals?*

Final Notes
Please list any additional information.*
Anything goes! Please include any questions, comments, coaching preferences and anything else that would be important for me to know. We will discuss everything over a video chat.
How did you hear about Coraann.fit*
BY CLICKING 'I UNDERSTAND' YOU ACKNOWLEDGE THAT: You have disclosed all relevant medical conditions, injuries & allergiesYou understand that Cora Ann Fitness programs are not medical advice and should not replace a physicians guidance and medical advice.you are responsible for following the program safely and communicating any issues or changes. Responses typically take 48-72 hours, and I will reply via email or text with the relevant programming information. please note that a consultation call may be recommended for further clarity.*

I UNDERSTAND
Please verify that you are human*
Should be Empty:

LIFESTYLE & SCHEDULE