ONLINE COACHING APPLICATION
Please allow 10-15 minutes to complete this form and answer every question with as much detail as possible. @teamenigmacoaching
Name
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First Name
Last Name
Email
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example@example.com
Phone Number
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Please enter a valid phone number.
Format: (000) 000-0000.
Date of Birth
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-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Height (centimetres)
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Current body weight:
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Highest body weight:
Lowest body weight:
What are your current physique goals? Please provide details on what you would like to achieve and a timeframe on when you would like to achieve this by.
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Please explain your nutrition goals.
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What have you previously tried to reach your goals? (diet, training, supplements)
Do you have any past or current injuries that I should be aware of?
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Do you have a history of high blood pressure, high cholesterol, diabetes, or any other personal or family medical conditions I should be aware of?
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What is your occupation? Please specify whether it is primarily physical or non-physical work, and indicate if it involves shift work or working away from home.
What do you do outside of work? Do you stay active or enjoy sedentary activities?
On average, how much sleep do you get per night?
When are you most active—morning or evening? What time do you usually train?
Do you currently smoke or vape, use recreational drugs, or consume alcohol? If yes, please specify the frequency and regularity of use.
How many months and/or years have you been training? Has this been consistent or on/off?
Please list any previous training methods that you have used.
How often are you currently training per week?
Do you own a gym membership?
Yes
No
No, but willing to obtain one
Are you happy to train 4-6 times per week?
What is your average daily step count?
What sort of cardio do you do each week and how often? Please provide a detailed response.
How often do you eat out, and how often do you prepare meals at home? Please provide details.
Please list any food allergies and dislikes
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Do you experience bloating? If so, please explain if it is continuous or if it comes and goes.
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Have you used any protocols or supplements to assist your digestion and gut health in the past?
How often do you go to the toilet?
Please list your current daily diet. Go into details on what foods you eat and how many times a day you eat.
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Have you used supplements in the past or are you currently using any?
How much caffeine do you consume dialy?
Is there anything else I should know to better assist your fitness journey?
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