Fitness and Lifestyle Coaching Application
Please fill out the following questions to help us understand your fitness background, health status, and goals. This will assist our coach in creating a personalized training plan.
Full Name
*
First Name
Last Name
Email Address
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Age:
Please describe your current fitness routine and experience.
*
Do you have any existing health conditions or injuries? Please specify.
What are your primary fitness goals? (e.g., muscle gain, fat loss, general health, competition preparation)
*
Are you currently following any specific diet or nutrition plan? Please describe.
Which areas are you most interested in improving? (Select all that apply)
*
Hypertrophy (muscle growth)
Bodybuilding/hypertrophy
Powerlifting
General fitness and health
Fat loss
Strength building
How many days per week are you willing to dedicate to training?
*
1-2 days
3-4 days
5-6 days
On a scale of 1 to 10, how committed are you to achieving your fitness goals?
*
Min 1
1
2
3
4
5
6
7
8
9
Max 10
10
1 is Min 1, 10 is Max 10
Do you have access to a gym?
*
Yes
No
No current gym membership but willing to get one
Please list all current supplementation with dosing / frequency. Please list any prescribed medications as well:
Do you have any dietary restrictions or preferences? (e.g., vegetarian, allergies, specific diet)
Submit Application
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