Tier 1 Performance 1-1 Coaching Questionnaire
Please fill out this questionnaire to help us understand your coaching needs and goals.
Full Name
*
First Name
Last Name
Email Address
*
example@example.com
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
What is your primary goal? You can pick more then 1.
Fat loss
Muscle gain
Strength
Performance
General health
Confidence
Other
What challenges are you currently facing?
*
What would success look like to you in the next 6 months?
What has/hasn’t worked for you in the past?
Preferred coaching style
Supportive and encouraging
Direct and goal-oriented
Collaborative and exploratory
Other
How would you prefer to communicate on a regular basis?
Whatsapp messaging
Email
Are you happy to have weekly check in calls?
Yes
No
Do you prefer to train in a gym, at home, or a mix? Please let me know the equipment you have access to.
How long have you been training consistently?
How many days can you realistically commit to training (both in a gym and at home)? E.g: 3 in the gym, 2 at home.
What type of training do you enjoy most?
Are there any exercises you dislike or cannot perform?
Do you follow a clean food plan (majority whole foods)?
How many hours of sleep do you usually get per night?
How would you rate your daily energy levels?
Very low
Low
Average
Good
Excellent
How stressful is your current lifestyle/work?
Low
Moderate
High
Do you currently have any injuries, pain, or medical conditions I should know about?
Are you taking any medication?
Have you been advised to avoid physical activity by a medical professional?
What do you feel is currently holding you back from reaching your goals?
On a scale of 1-10 how committed are you to reaching your goals?
What kind of support helps you most?
Accountability
Education
Motivation
Structure
All of the above
Other
Is there anything else you’d like me to know before we begin?
Final question. Are you ready to fully commit to the coaching process?
Yes
No
Submit
Should be Empty: