FITHR Club Coaching Consultation
Please complete this questionnaire to help us understand your goals, habits, and preferences for coaching.
Full Name
*
First Name
Last Name
Age
*
Height
*
Current Weight
*
What are you hoping to improve right now?
*
Weight Loss
Strength
Balance
Mobility / Flexibility
Posture
Energy / Overall Health
Healthy Lifestyle Habits
Other
Contact Number
Please enter a valid phone number.
Format: (000) 000-0000.
What type of support are you looking for?
*
Online Coaching
In-Person Training
Balance / Fall Prevention Training
Strength Training
Nutrition Guidance
Accountability Coaching
Not sure yet — I’d like guidance
Are you currently exercising?
*
Yes
No
If yes, what type of exercise are you doing and how often? (Example: walking, strength training, yoga, classes, etc.)
On a scale of 1–10, how committed are you to improving your health and fitness right now?
*
Just exploring
1
2
3
4
5
6
7
8
9
Fully committed
10
1 is Just exploring, 10 is Fully committed
Important Coaching Information
Professional coaching requires both time and financial commitment. Most clients see the best results when they commit to a minimum of 3–6 months, allowing enough time to build consistent habits and experience meaningful improvements in strength, balance, and overall health.
If we decide we are a good fit, when would you like to begin?
*
Immediately
Within the next 2 weeks
Within the next month
Just exploring options
Submit
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