Coaching Application
Help me understand your goals so we can build the perfect plan to reach them.
Let me get to know you!
simple details regarding who you are.
Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
-
Country Code
Phone Number
Age
*
Gender
*
Male
Female
Prefer not to say
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Description of activity levels
Lets get a better understanding of yourself!
1a. How would you rate your activity levels on a scale of 1-5
*
1
2
3
4
5
1b. What is the reasoning behind your answer
*
2a What would you rate your gym experience on a scale of 1-5
*
1
2
3
4
5
2b What is the reasoning behind your answer? e.g how long have you been going
*
3a How active is your job on a scale of 1-5
*
1
2
3
4
5
3b Description of your job (include hours,days, whats included)
*
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Reasoning for your workout goals
Get a deeper understanding of the cause before finding the solution
1a What makes you want to workout
*
1b Why do you feel this particular way
*
2a What makes you want a Personal Trainer
*
2b Have you tried a PT in the past
*
Yes
No
2c If yes, what worked, what did not and why did you leave
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Goals!
We have found the root, now time for the expectations
1. What is the workout goal
*
Lose weight
Tone up/lose fat
Muscle gain
Strength gain
Mental reasons
Other
2. Where do you see yourself in 1 months time
*
3. Where do you see yourself in 3 months time
*
4. Where do you see yourself in 6 months time
*
5. Outside of physiocal goals, what is your mental goal. e.g better mental goals
*
6. How many times a week can you train
1
2
3
4
5
6
7
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Injuries
Final chapter to a great journey
1a Is there any injuries i need to be aware of
*
Yes
No
1b. if yes, whats are the injuries
i understand that everything filled out in this form is the complete truth. Anything missed out is at my own discretion and is not down to my Personal Trainers lack of knowledge.
I agree
Do you consent to taking photos of transformations for marketing purposes
Yes
No
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Payment
Where do we go from here in terms of getting you on board
My Products
*
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( X )
Waiting list
£50.00
£
50.00
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Item subtotal:
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0.00
Block Pricing - x1 session a week
1-1 sessions once a week Per Month
£160.00
£
160.00
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Item subtotal:
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Block Pricing - X2 sessions a week
X2 1-1 sessions a week
£300.00
£
300.00
Block Pricing - X3 sessions a week
3 1-1 sessions per week
£420.00
£
420.00
Premium online
£179.99
£
179.99
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Standard online
£149.99
£
149.99
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Calculation
Submit
Should be Empty: