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Quick Coaching Application
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15
Questions
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1
Name
First Name
Last Name
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2
Email
example@example.com
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3
Phone Number
(for coaching texts)
Please enter a valid phone number.
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4
What is Your Time Zone
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5
Primary Goal (pick one):
Lose 10–20 lbs
Recomp (lose fat, build muscle)
Lose 20–40 lbs
Build muscle/performance
Lose More Than 40 lbs
Other
Other
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6
Timeline Of When Want To Achieve Your Goal
30 days
90 days
60 days
Longer
Not Sure
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7
Why now? (1–2 sentences):
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Small
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quote
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Ok
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8
Top 2 obstacles that keep stopping you:
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Ok
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9
Availability to train (honest):
3×30–45 min
5×45–60 min
4×45–60 min
Variable / travel heavy
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10
Equipment you have access to:
None / bodyweight
Resistance bands
Dumbbells
Pull-up bar
Full gym
Other
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11
Any current injuries/medical issues we must program around?
YES
NO
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12
Nutrition approach you’ll commit to:
High-fiber, whole-food focus
Balanced “family-friendly”
Calorie & protein targets
Not sure—need a simple plan
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13
Coach Ability (rate yourself):
On a scale of 1–10, if I give you a simple plan, how likely are you to follow it for 4 weeks? (1 = won’t do it, 10 = I’ll execute)
1
5
8
2
6
9
3
7
10
4
Other
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14
Budget readiness:
Less Than $100/mo
$700+
$100–$299/mo
Not sure
$300–$699/mo
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15
If accepted, when do you want to start?
This week
Next 30 days
Next week
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