DCC Online Coaching Inquiry
This form is the first step in enrolling in online coaching with David Castle. You'll be asked to provide some basic information and select either a 3-month or 6-month coaching package. Once your enrollment and payment are complete, you'll receive an email with instructions to complete your initial intake questionnaire and liability waiver. Both must be submitted before your personalized training program can be developed.
Name
*
First Name
Last Name
Email
*
example@example.com
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Why now? Why is now the right time for you to focus on your health?
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What will it cost you, both now and in the future, if you don’t take control of your health?
*
What is your occupation?
*
How many days/week can you train, and how much time per session?
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If you won't be training at a gym, what home equipment do you have access to?
*
What do you believe is required to be successful in online coaching?
*
What is your current scale weight?
*
This is most accurate in the morning before you've consumed any foods/liquids
How long have you been resistance training or strength training, if at all?
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New to training
Less than 1 year
1–3 years
3+ years
What types of training have you done consistently in the past?
Please list a typical day of eating, including all meals and snacks.
*
How long have you been eating this way?
*
How have you felt eating this way? Have you noticed changes in body weight, energy levels, digestion, or recovery?
*
What are your current stress levels?
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low stress
1
2
3
4
5
6
7
8
9
high stress
10
1 is low stress, 10 is high stress
Do you have any current or past injuries, pain, or physical limitations we should be aware of?
*
Are you currently under medical care or taking medications that may impact training or nutrition?
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Yes
No
Is there anything else you’d like us to know about you, your goals, or your concerns?
*
COACHING AGREEMENT & ACKNOWLEDGMENT
I understand that online coaching provides individualized fitness, exercise, nutrition, and lifestyle guidance and is not medical care, diagnosis, or treatment.
I understand that participation in an exercise program involves inherent risks, and I am responsible for consulting an appropriate healthcare professional before beginning or modifying an exercise or nutrition program when appropriate.
I understand that results vary by individual and no specific result or outcome is guaranteed.
I understand that after enrollment I will receive a detailed Client Intake & Health Questionnaire and Liability Waiver, both of which must be completed before my individualized coaching program is developed.
I understand that my selected coaching package requires a one-time payment in full and that all coaching fees are non-refundable.
I understand that by selecting a coaching package below and completing enrollment, I authorize the stated one-time charge.
CHOOSE YOUR COACHING PACKAGE
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3-Month Online Coaching
Customized online coaching. One-time payment. All coaching fees are non-refundable.
$1,800
$
1,800
6-Month Online Coaching
Customized online coaching. One-time payment. All coaching fees are non-refundable.
$3,000
$
3,000
Continue to Secure Payment →
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