FITNESS COACHING ENQUIRY FORM
Name:
*
First Name
Last Name
E-mail Address:
*
example@example.com
Phone Number:
*
Format: (000) 000-0000.
Instagram /Facebook Handle
*
What is your current occupation?
*
What are your overall health and fitness goals? (Include a time frame if you have one )
Why are these goals important to you?
Are you wanting help with your nutrition ?
Yes
No
What types of workouts /training have you done in the past ? Please Include if you enjoyed /disliked these training styles .
What has stopped you from achieving your health and fitness goals in the past ?
On a scale of 1-10 , how committed are you to making a change right now?
Worst
1
2
3
4
5
6
7
8
9
Best
10
1 is Worst, 10 is Best
Have you worked with a fitness coach before ?
What fitness coaching services that Emvision Fitness offers are you after ?
Online fitness coaching
Mobile PT (Perth NOR based )
How would you like me to contact you ?
Phone
Text
Email
Submit Application
Should be Empty: