Coaching Enquiry Form

Kia Ora!

I'm so excited that you're interested in coaching with me!

This form is to give me a better understanding of you, your current abilities, what your goals are, and what your expectations are from me.

Once I have reviewed your enquiry form, I will be in touch with you ASAP to discuss pricing options and go more in-depth with you on how we can best work together to achieve your goals before proceeding.

I look forward to chatting soon! :)

Name

First NameLast Name

Contact Details

EmailPhone number

Gender

Date of Birth

DayMonthYear

Age

What is your preferred method of initial contact in response to this form submission?

Leave your Instagram handle if this is your chosen form of contact

What do you do for a living?

What is the activity level in your line of work?

Do you have regular scheduled hours, or do shift work? Please include details (i.e. days per week and whether you work days/nights/rotating roster). Write N/A if this is not applicable to your situation

Do you currently train in a gym or do other physical activities outside of work? Please include details.

What specific Coaching do you want from this partnership?

If you have answered "Other", please state below:

What are your short and long term goals, and why?

How many days per week are you willing and able to commit to training to achieve these goals?

If you are wanting to compete, please leave details of the competition you are interested in entering

If you are interested in competitive Powerlifting, please note your current 1RM for Squat, Bench and Deadlift

Have you worked with a PT or Coach in the past?

Do you want 1:1 in-person coaching? If yes, please indicate how many sessions per week

What are your expectations from me as your Coach?

Please detail any diagnosed health issues, including any treatment/medication required to treat or improve them and how this may affect your ability to exercise. Write N/A if this does not apply to you.

Please detail any current or past injuries you have, if they affect your ability to exercise, and any treatment or therapy you have taken to improve them. Please include details. Write N/A if this does not apply to you.

Is there anything else you'd like to add that may be beneficial for me to understand your situation better? And do you have any questions for me that you'd like to dicuss further?

1) PAYMENT

Payment is required on a weekly/fortnightly basis as agreed upon. If you expect you will be unable to make payment in full for your programming and in-person sessions, you agree to provide notification as soon as possible to discuss options. Failure to notify will result in termination of our coaching relationship.

2) IN-PERSON SESSIONS

Standard in-person sessions will be charged for a minimum of 1-hour in length. If you wish to have a longer session, this must be scheduled in advance, and charges will be adjusted accordingly.

3) CANCELLATIONS

Cancellations for in-person sessions must be made no later than 24 hours in advance of scheduled session. Sessions cancelled less than 24 hours in advance will be charged in full to the client.

4) LATE ARRIVAL

In-person sessions will not be extended (unless time is available) due to the lateness of the client, or due to interruptions caused by the client.

5) ALL INFORMATION I HAVE GIVEN IS CORRECT

All the information provided on this form is true and correct to the best of my knowledge. I have sought and followed any necessary medical advice. I understand that all the information provided will be kept confidential.

BY SIGNING AND SUBMITTING THIS FORM YOU AGREE TO THE ABOVE TERMS AND CONDITIONS.

Signature

COACHING ENQUIRY FORM

1. BASIC INFORMATION

2. LIFESTYLE INFORMATION

3. GOALS

3. HEALTH & MEDICAL INFORMATION

Please read the following Terms and Conditions