Joe Fitness 1 to 1 Coaching Form
Welcome! Please fill out the form to give me more information about yourself and your goals.
Full Name
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First Name
Last Name
Date of birth
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Day
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Month
Year
Date
Gender
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Male
Female
Phone number
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Email Address
example@example.com
Height (in cm)
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Weight (in kg)
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Fitness goals (e.g. gain muscle, lose fat, increase endurance), there is no wrong answers here, just give me an idea of what you want to achieve.
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Current weekly exercise regime, please include average daily steps if possible along with other forms of exercise like gym workouts or runs.
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How many days per week are you available to train?
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How long do you prefer spending training (e.g. 30 mins up to 2 hours)?
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What would you rate your current eating habits (e.g. excellent, good, fair, poor)?
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Dietary requirements, allergies/intolerances and preferences, eg doesn't like fish.
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Do you have any medical conditions (e.g. diabetes, asthma, heart disease)? If yes, please specify?
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Have you had any surgeries or injuries in the past 5 years? If yes, please provide details.
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Have you worked with an online coach before and if so what did you like or dislike about that experience?
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Is there anything else you want me to know to help me tailor your training and nutritional program?
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Signature
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Date
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Day
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Month
Year
Date
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