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30
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1
Full Name
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2
Date of Birth
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Date
Month
Day
Year
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3
Mobile Number
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4
Email Address
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5
Location (town/city & country)
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6
Occupation & Work Schedule
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7
What would you like coaching support with?
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General fitness & strength
Gym confidence & structured training programme
HYROX coaching (first time or improving performance)
Fat loss
Muscle Building
Post injury or illness recovery and rehab
Pregnancy fitness (pre & post natal)
Peri/Post menopause fitness
Nutrition & Habit-building
Other...
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8
What are your top 3 health goals right now?
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9
What has stopped you from achieving these goals in the past?
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10
How would you describe your current fitness levels?
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Beginner
Intermediate 2
Advanced
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11
Do you have any specific timeframes for achieving your goals (e.g., event, race, personal milestone)?
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12
Are you currently exercising? If so, what does your routine look like?
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13
How many days per week can you realistically commit to training?
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14
What type of exercise do you enjoy? (e.g., strength, cardio, functional, group classes)
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15
Do you have access to a gym?
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Yes
No, I train at home
Maybe
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16
What barriers (if any) do you face when it comes to exercise?
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17
How would you describe your current nutrition approach?
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Structured Meal Plan
Restrictive
Flexible or Intuitive
Not Sure
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18
Do you track calories or macros?
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Yes
No
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19
Do you have any dietary restrictions or preferences?
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20
How would you describe your relationship with food?
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21
What daily habits are you looking to improve?
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Eating habits & meal planning
Hydration
Sleep & Recovery
Stress management
Consistency with workouts
Consistency with diet & habits
Other...
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22
Do you have any current injuries, illnesses or medical conditions I should be aware of?
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23
Are you currently pregnant, postpartum, or navigating peri/post-menopause?
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24
Have you been cleared by a doctor to exercise?
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Yes
No
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25
Do you have any past injuries or health concerns that could affect training?
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26
Have you worked with a coach or personal trainer before?
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Yes
No
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27
What type of support keeps you accountable and motivated? (e.g., check-ins, structured plans, encouragement)
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28
What do you expect from me as your coach?
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29
On a scale of 1-10, how ready are you to commit to coaching?
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1
2
3
4
5
6
7
8
9
10
NOT READY
FULLY COMMITTED
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30
Is there anything else you'd like me to know?
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