Maximum Fitness
Coaching Application
Name
*
First Name
Last Name
Gender
*
Female
Male
Other
Phone Number
-
Area Code
Phone Number
Email
*
example@example.com
Date of Birth
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Are you looking for a…
*
Bodybuilding coach
Fitness & lifestyle coach
Other
If you answered “Other”, please specify.
Have you worked with a coach before?
*
Yes
No
If yes, why are you no longer with this coach/trainer?
*
What gym do you currently train at?
*
What do you do for a living?
*
Do you follow a regular working schedule, do you work days, afternooon, or nights?
*
How often do you travel?
Weekly
Monthly
Yearly
Other
How would you describe the activity level at your job?
*
Low
Medium
High
Which days do you normally train?
*
Sunday
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
How much time can you give yourself in the gym?
*
Please list any and all injuries, or ailments that may affect your training.
*
How are you treating said ailments/injuries?
How long have you been lifting?
*
Other than weight training, what physical hobbies do you participate in?
*
Are you on any medication? Vitamins? Supplements?
*
On a scale from 1-10, how motivated are you to get in the best physical shape of your life? 1 being least, 10 being most.
*
1
2
3
4
5
6
7
8
9
10
^ Explain why you chose this number.
How would you describe your relationship with food?
Have you ever used a diet or meal plan?
*
Yes
No
What were the results of this diet/meal plan?
How much water do you drink?
*
How many hours of sleep do you get per night?
*
Describe your quality of sleep?
*
What are your short term fitness goals?(3months-1year)
*
What are your long term fitness goals?(2+ years)
*
What are some challenges that you face when it comes to training/getting in shape? List them.
Tell me anything else you feel I should know about you.
*
Do you have any questions for me? Ask away!
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