Fitness Consultation Form
Hi there! 👋Thank you for your interest in improving your health and lifestyle. I’m excited to help you achieve your fitness goals through personalized coaching that combines effective workouts with easy-to-follow nutrition guidance.This form will help me understand your current habits, goals, and preferences so I can tailor a plan that truly works for you. Whether you're just starting out or getting back on track, I’m here to support you every step of the way.My goal is to help you feel stronger, healthier, and more confident — no matter where you're starting from.💡 My specialties include:💪 Weight loss & strength training🥗 Nutrition & meal guidance (I’m also a professional chef!)🔥 HIIT & functional fitness🧘♀️ Post-rehab training🌸 PCOS-friendly coaching,Please fill out the questions honestly — your information will remain completely confidential.Let’s get started on building a healthier, stronger you! 💥
Full Name
*
First Name
Last Name
Gender
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Date of Birth
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Year
Age
years
Height
cm
Weight
KG
Facebook account and instagram Name*
How physically active is your job?
none(seated only)
Moderate (light activity such as walking)
High (heavy labor, very active)
Do you follow a regular working schedule, do you work days, afternoon or nights?
Please list any physical activities you engage in outside of the gym and your workplace.
If you have any diagnosed health problems list the condition(s).
If you are on any medications, please list them.
If you have any injuries, please list them.
What additional therapies are being undertaken for the given injury?
Are you experiencing any stresses or motivational problems?
Yes
No
Has anyone of your immediate family developed heart disease before the age of 60?
Yes
No
Do any diseases run in your family?
Yes
No
Do you suffer from diabetes, asthma, high or low blood pressure?
Yes
No
if yes please list:
Your current diet could be best characterized as:
low-fat
low-carb
high-protein
Vegetarian/Vegan
No special diet
If your dietary preference is not listed in the choices, please specify it below.
Please rate your readiness for change.
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What following goals does best fit in with your goals?
Improved health
Improved endurance
Increased strength
Increased muscle mass
Fat loss
TImeline for achieving your goal.
Rows
8 WKS
16 WKS
24 WKS
32 WKS
40 WKS
1 YEAR
NOW
What is your goal with your training?
What are your expectations on me as your Personal Trainer?
If I gave you a plan to follow would you be able to spend 3 hours per week working on it to achieve the results you want
Please write down all the special topic questions you want to ask before starting the video conference.
How often are you willing to train a week to reach your goal?
Please rate your motivational level to do what it takes for reach your goal.
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Are you currently excersising regulary (at least 3x per week)?
Yes
No
Have you trained with a personal trainer before?
Yes
No
If yes what kind of training did you do?
Video Conferencing + Basic Nutrition Plan Coach Sarah will schedule a video call with you to talk about your goals, needs, and other important details. During the session, she’ll give personalized advice and recommendations based on your answers in this form.
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Appointment availability after choosing date, kindly wait for 1-3 business days for the confirmation of your appointment, you can vibe us directly.
Appointment
Payment Details
Bpi
4889043712
BDO
001580036579
Name Gcash
09690389915
Please upload your payment screenshot here.
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