Coaching Enquiry Form

Coaching Enquiry Form

Coaching Enquiry Form

Here's to the first step in realizing your complete potential! This survey is your opportunity to share your unique fitness journey with me. By understanding your goals, preferences, and challenges, we can collaborate to create a plan that fits seamlessly into your lifestyle and helps you achieve your aspirations. Regardless of your fitness objective, whether it be fat loss, muscle development, strength enhancement, or overall well-being—I am committed to providing continuous support and guidance throughout your journey. My role is to empower you with the knowledge, motivation, and accountability needed to achieve your goals effectively and sustainably. Let’s get started! Please take your time to answer the questions honestly below. Feel free to share any details that will help me assist you in your transformation journey. Together, we'll create a strategy that's realistic, effective, and sustainable.
What's your first and last name?
What is your email address?
What is your Instagram handle? Example: @carlasmethod
What is your date of birth?
FemaleMaleNon-binaryOtherPrefer not to say
What is your occupation?
Please specify any health concerns/past injuries?
Are you currently taking any medication?
Less than 6 hours6 - 7 hours7 - 8 hours8 + hours
SedentryModerateStrenuous
Briefly describe any past exercise history.
Briefly describe any past gym/weight training experience.
Briefly describe your past training regime in the last 3 months.
Beginner (not very confident)Intermediate (confident)Expert (very confident)
4 - 6K6 - 8K8 - 10K10K +
What are your expectations from this coaching relationship?
Briefly describe your ideal body composition goal.
What is your height?
What is your weight?
General Health and WellbeingMuscle BuildBody RecompositionFat Loss
1 - 2 per week2 - 3 per week3 - 4 per week5 per week
Brief Description of Current Goal:
MondayTuesdayWednesdayThursdayFridaySaturdaySunday
MondayFridaySunday
YesNo
When do you want to start?

MonthDayYear
Date
Do you have any additional information you would like to provide?
Thank you for completing our survey.

I understand that all information I entered in this form will be considered strictly confidential. The data gathered from this form will only be used as a basis for the type of coaching the client will need. I understand that in order to be successful, it is vital to follow the plan agreed by both the life coach and the client.
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