Purpose Built Training – Coaching Application
This application helps me understand your goals, training experience, and lifestyle so I can see if coaching is the right fit. Applications are reviewed weekly- spots are limited.
Personal Info
Full Name
*
First Name
Last Name
Age
*
Gender
*
Please Select
Male
Female
Country / State
*
Email
*
example@example.com
Phone Number
*
Instagram Handle
Optional- for program support and communication
Work Situation
*
Please Select
Working Full Time
Working Part Time/ Causal
Student/Apprentice
Not Working
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Next Step
Goals
What is your main goal right now?
*
Please Select
Fat Loss
Muscle Gain
Body Recomposition
What does your goal look like in real terms?
*
e.g. lose 10kg, build muscle, get leaner for summer
When do you want to start?
*
ASAP
Within 2 weeks
Just exploring
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Next
Training and Nutrition
How many days per week do you currently train?
*
Please Select
0-2
3-4
5-6
How long have you been training consistently
*
Please Select
0-6 months
6-12 months
1-3 years
3+ years
Are you currently following a structured plan
*
Please Select
Yes
No
Do you have any injuries or limitations?
*
Please Select
Yes
No
Please briefly describe your injury or limitation
*
Do you currently track calories/macros?
*
Please Select
Yes (consistently)
Sometimes
NO
What is your biggest struggle with nutrition?
*
Please Select
Consistency
Over-eating
Under-eating
Weekends/social events
Lack of knowledge
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Next Step
Commitment & Readiness
These questions help me understand your challenges and motivation so I can coach you effectively
What has been holding you back from reaching your goal?
*
Why do you want to make a change right now?
*
How committed are you to following a structured program?
*
Please Select
Fully Committed
Somewhat Committed
Just Exploring
How many days per week can you realistically commit to training?
*
Please Select
3-4
4-5
5-6
If accepted, are you financially ready to invest in coaching right now?
*
Please Select
Yes
Maybe
Just Exploring
*Coaching is designed for individuals ready to take ownership of their results.*
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Next
Preferred Contact Method
Choose how you’d like me to reach you for coaching updates and support.
Select Contact Method
*
Phone
Email
Instagram
Is there anything else you’d like me to know?
Submit
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