IRONHOLD COACHING
ONLINE CLIENT ENQUIRY FORM
Name
*
First Name
Last Name
Email
*
example@example.com
Mobile Number (WhatsApp)
*
Please enter a valid phone number.
Format: (000) 000-0000.
Gender
Male
Female
Prefer not to say
Your main goals? Please go into as much detail as you can.
Height? (cm) *
Weight? (kg) *
Age?
SLEEP & RECOVERY
Average sleep time?
Please Select
5-6hrs
6-7hrs
7+hrs
Do you struggle to sleep at night?
Sleep quality? 1=Not great 5=Couldn't be better
Any injuries I should know about?
OCCUPATION
What is your current occupation?
Do you work shifts? if so what are they
Would you say your occupation is a high stress environment?
NUTRITION & MEAL PLAN
Any allergies I need to be aware of?
Any food preferences?
What are some of your favourite foods?
Some of your least favourite foods?
Any foods you would like to have in your meal plan?
Do you have a tendency to snack regularly?
Do you track food?
Yes
No
Do you weigh food portions?
Yes
No
How often do you consume alcohol?
Do you smoke?
ACTIVITY & WORK OUT PLAN
How often do you work out?
Do you do any cardio? Please include any sports or active hobbies
How often could you work out?
1-2 x per week
2-3 x per week
3-4 x per week
4+ x per week
What days do you work out?
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
What time of day is best for you?
Morning
Afternoon
Evening
Are there any days you cannot work out?
Do you have any particular body parts you would like to focus on improving?
How experienced are you with strength training?
Do you have any questions for me? Please also feel free to message me directly
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