Client Fitness & Coaching Application

Client Fitness & Coaching Application

Please complete this application to help us understand your background, health, and coaching readiness.
Basic Information
Full Name

First NameLast Name
Email Address
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Age
Height
Current Weight (please specify units)
Occupation
Medical & Health History
Are you currently under a doctor's care?
If yes, please explain.
Do you have any diagnosed medical conditions? If so, please describe. (If not, or you fully described conditions above, put "see above.")
Are you currently taking any medications?
If yes, please list medications.
Do you have any dietary restrictions or foods you cannot eat?
Do you have any past or current injuries? (If yes, describe)
Are there any exercises or movements you cannot perform or that cause pain?
If yes, please explain.
Do you have clearance from your physician to participate in exercise if required?
Current Lifestyle
How would you describe your current activity level?
How many days per week do you currently exercise?
What type of exercise are you currently doing?
What is your current average daily step count?
How many hours of sleep do you average per night?
How would you rate your stress level?
How would you rate your nutrition consistency?
How many days a week can you realistically train, and how long on each of those days?
Where will you be training? If at home, list the kind of equipment you'll have access to.
Have you ever tracked your food before?
What have you tried in the past to reach your fitness goals?
How many meals a day do you currently eat?
Goals
What are you hoping to change in the next 90 days?
What is your primary fitness goal as of right now?
What is your target weight (if applicable)?
What is your biggest struggle right now?
Why is achieving this goal important to you?
On a scale of 1–10, how committed are you to reaching your goal?

1

2

3

4

5

6

7

8

9

10

1 is Not committed, 10 is Extremely committed
Coaching Standards & Readiness
This coaching requires honest food tracking, consistent training, and weekly check-ins. If you are accepted, are you willing to follow these requirements even when it’s inconvenient or difficult?
Are you prepared to commit to this process for at least 12 weeks to give yourself enough time to see meaningful progress?
When will you be ready to start?
What is the best way to contact you to discuss your application, and what time/day?
Thank you for applying. It looks like this may not be the right season for structured coaching. When you're ready to fully commit to the process, you're welcome to apply again.
Thank you for applying! Your application has been received and is being reviewed. I will contact you within the next 2 business days regarding the next steps.
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Client Fitness & Coaching Application

Basic Information

Medical & Health History

Current Lifestyle

Goals

Coaching Standards & Readiness