Client Coaching Application

Client Coaching Application

Optimal Vitality HQ is built on commitment, consistency, and coaching not drop-ins or quick fixes. This application helps us determine if we’re the right fit to support your health, performance, and lifestyle goals.
BASIC INFORMATION
Name*

First NameLast Name
Email*
example@example.com
Phone Number *
Age Range*
GOALS & CURRENT STATUS
What are your primary health or fitness goals right now?*
Examples: building strength, losing body fat, improving mobility, reducing pain, creating consistency, or improving overall lifestyle health.
How would you best describe your current training routine?*

I train consistently (3+ times per week)I train occasionally but struggle with consistencyI am returning after time off, injury, or burnoutI am new to structured training
How important is improving your health and performance right now?*

1

2

3

4

5

1 is Not a priority, 5 is Top priority in my life right now
COMMITMENT & STRUCTURE
Optimal Vitality HQ operates on a commitment-based coaching model (4, 8, or 12 months). Which option are you open to exploring?*

4-month commitment8-month commitment12-month commitmentNot sure yet, open to discussion
How many in-person coaching sessions per week can you realistically commit to?*

1x per week2x per week3x per week
Are you willing to commit to a consistent training schedule with assigned days and times?*

YesNo
AVAILABILITY
Which training times work best for you? (Select all that apply)*

Early Morning (7:00–10:00 AM)Midday (11:00 AM–2:00 PM)Afternoon (3:00–6:00 PM)Evening (6:00–8:00 PM)
MINDSET & FIT
Are you looking for coaching, accountability, and long-term guidance — not just workouts?*

YesNo
Why do you feel now is the right time to commit to your health?*
Please review and acknowledge the following:*

Statement: I understand that Optimal Vitality HQ does not offer drop-in sessions or session rollovers. Coaching is delivered through structured commitment plans designed for long-term success.
How did you hear about Optimal Vitality HQ?
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Client Coaching Application

BASIC INFORMATION

GOALS & CURRENT STATUS

COMMITMENT & STRUCTURE

AVAILABILITY

MINDSET & FIT