Language
English (US)
Español
One-on-one coaching application form
lets see if we're the right fit!
Full name
First Name
Last Name
Email
example@example.com
WhatsApp number
Please enter a valid phone number.
Format: (000) 000-0000.
Back
Next
Have you worked with a personal trainer or online coach before?
Yes, once before
Yes, a few times
No, this is my first time
Other
If "Other" please explain:
What is your goal?
I want to lose weight
I want to gain weight
I just want to feel healthier
I want to get stronger
I want to get more serious about training; no physique goals
Elaborate for me please..
*Be specific: if you want to lose weight, how much? if you want to feel healthier, tell me what that would feel like.
Have you tried to accomplish this goal before?
If "yes" tell me what worked the last time you tried, and what didnt work. How did you get back to this point?
Are you currently working out? This can be in the gym, at home, or in group classes or in organized sports.
Yes, 1-2 days per week
Yes, 3-5 days per week
Yes, 5-6 days per week
Yes, every day
No, but I am ready to start
Elaborate on the above please. Tell me about your workouts! What are your workouts, what's your workout/class schedule like each week, etc. Whatever you think is relevant.
Are you currently following a diet, tracking macros or adhering to any dietary restrictions?
Yes, I am following a diet
Yes, but only because I have allergies
Yes I track macros, and I have a basic understanding of macro and micronutrients.
No, but I am proud of my diet- I eat well
No, I have a history of ED and no longer restrict for my own mental health
No, I eat like a trash panda and I know I could do better
Tell me more about your diet please.
Why do you want a coach? What is it that you hope I can help you with?
Does your goal have a timeline?
Yes, for a fixed date (trip, event, etc.)
Yes, for a date I chose to hold me accountable.
No, I am ready to make a lifestyle change
No, I didnt think that far..
Anything else I should know? Any questions for me?
Submit
Should be Empty: