Bodybuilding & Fitness Coaching Inquiry

1

Full Name* This field is required.

First Name

Last Name

2

Email Address* This field is required.

example@example.com

3

Phone Number

Please enter a valid phone number.

4

Age* This field is required.

5

What best describes your current lifestyle?* This field is required.

Sedentary (little or no exercise)

Lightly active (light exercise/sports 1-3 days/week)

Moderately active (moderate exercise/sports 3-5 days/week)

Very active (hard exercise/sports 6-7 days/week)

Extra active (very hard exercise & physical job)

Other

6

Briefly describe your occupation and daily activity level (e.g., desk job, shift work, manual labor, student, etc.)

7

How many hours of sleep do you typically get per night?

8

How would you describe your nutrition habits?

Very strict and consistent

Somewhat consistent

Inconsistent

Other

9

How long have you been training (weightlifting, bodybuilding, fitness, etc.)?* This field is required.Years/ months/ N/A

11

Have you worked with a coach before?* This field is required.

Yes

No

12

If yes, please describe your previous coaching experience (type, duration, what worked/didn't work, etc.)

13

What are your primary fitness or bodybuilding goals?* This field is required.

Build muscle

Lose fat

Increase strength

Improve athletic performance

Compete (bodybuilding, fitness, etc.)

Improve overall health

Other

14

Please describe your specific goals and what you hope to achieve with coaching.* This field is required.

15

Current Height (cm or inches)* This field is required.

16

Current Weight (kg or lbs)* This field is required.

17

If known, please provide your current body fat percentage.

18

Are you a natural athlete (no use of performance enhancing drugs)?* This field is required.

Yes

No

Prefer not to say

19

Do you have any medical conditions, injuries, or medications I should be aware of?* This field is required.

No

Yes (please specify below)

20

If yes, please provide details about your medical conditions, injuries, or medications.