Coaching application form

1

Which type of coaching are you interested in?

1-2-1

2-2-1 (buddy)

Online coaching

2

What are your primary goals?

Fat loss

Build muscle

Become fitter

3

Name

First Name

Last Name

4

Gender

Male

Female

5

Date of birth (DD/MM/YY)

6

Phone number

7

Email

example@example.com

8

Which town are you located?

9

Do you currently have a gym membership? If yes, please state where.

10

Have you ever had a personal trainer or followed any training programmes? If yes, please give details.

11

Current fitness levels?

Beginner

Intermediate

Advanced

12

Can you commit to giving up your spare time to train?

Yes

No

13

How many days a week can you commit to training?

14

Can you commit to hitting calories, steps and completing a daily/weekly check-in forms?

Yes

No

15

Any medical history or injuries? If yes, please give details.

16

Any additional questions?