Online Coaching Registration Form
Form to register participants for online coaching sessions.
Full Name
*
First Name
Last Name
Date of Birth
*
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Month
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Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Instagram Handle
Email Address
*
example@example.com
Phone Number
Which MWM service are you interested in?
Momentum Program
Personalised Coaching
Nutrition Coaching
In-Person Training
One-Off Program
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What is your fitness goal
Weight Loss
Building Muscle
Maintain Weight
Improve Confidence
Other
Tell me about your current training experience. How long have you trained, what do you enjoy, and do you train at home or in a gym?
How many days can you realistically train each week? If training at home, what equipment do you have?
Tell me about your current lifestyle and eating habits. Include your usual diet, sleep, stress, food preferences and any allergies or restrictions.
What are your main goals? Why are they important to you, and is there a specific date or event you’re working towards?
What has made reaching your goals difficult in the past?
How would you like to be coached? Include what support and accountability work best for you.
Is there anything that may affect your training or nutrition? Include any injuries, medical conditions, medications or exercises you need to avoid.
Do you have any medical conditions, injuries, or limitations I should know about?
Tell me a bit about your current training experience:(How long have you been training, what type of workouts you do, how many days per week you can realistically train, and whether you have access to a gym or train from home.)
Tell me about your current lifestyle and eating habits.(Include things like your general diet, if you track calories or macros, any food preferences or restrictions, your average sleep, stress levels, and whether you drink or smoke.)
What are your main fitness goals and why are they important to you?(Share what you want to achieve, what’s been holding you back, how you want to feel, and what success would look like in 3 months. If you’re working towards an event or specific date, mention it too!)
Tell me a bit about how you like to be coached.(Have you worked with a coach before? What did you like or dislike? How do you prefer to stay accountable — check-ins, messages, or app tracking? And finally, are you ready to commit to making real changes?)
What is your current height, weight, and activity level? (Activity level examples: sedentary, lightly active, moderately active, very active)
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Please provide your signature to confirm your interest in this service
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