Coaching Enquiry Form
Please complete this short form so I can understand your goals, training history, and assess whether my coaching is right for you.
Full Name
*
First Name
Last Name
Date of Birth
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Age
*
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: 0000 000 000.
Which service are you enquiring about?
*
In-Person Coaching
Online Coaching
Programming & Nutrition
How did you hear about me?
Your Training Goal
Which best describes your current training focus?
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Increase strength
Increase muscle mass
Fat loss
Event/Sport
Other
Please describe
What would achieving this look like to you?
*
Rate how important is this goal to you (1
1
2
3
4
5
1 is , 5 is
Why this goal is important to you right now?
*
Have you attempted this in the past?
*
Yes
No
Were you successful?
Yes
Yes, but only briefly
No
What worked well for you?
*
What did you struggle with the most?
*
How confident you are in achieving this goal right now? (1 = not confident at all)
*
1
2
3
4
5
1 is , 5 is
Do you have an approximate timeframe to achieve your goal?
<3 months
3 months
6 months
6 to 12 months
12+ months
None
Training Background
What is your level of training experience?
<1 year
1 to 2 years
2 to 5 years
5+ years
Which best describes you in relation to exercises and training?
I am extremely competent and confident in the gym with all movements
I know most movements and am very confident performing them
I know the basic movements and can perform them well
I don't know many movements in the gym and am unsure If I do them well
Have you followed structured programs before?
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Yes
No
Have you trained with a personal trainer before?
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Yes
No
What does successful coaching support look like to you / What are your expectations from a Personal Trainer?
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Are you currently training regularly?
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Yes
No
When was the last time you trained on a regular basis?
Briefly describe your current training structure
Are there any movements or exercises that you tend to avoid in training?
*
Yes
No
Please list and explain why below
*
Do you have any current injuries or conditions that may affect your capacity to train?
*
Yes
No
Please list and describe below
*
Training Availability
Are you currently a member of or have access to a gym?
*
Yes
No
How many times per week can you commit to training?
*
days
How much time can you commit per training session?
*
minutes
What days do you prefer to train?
*
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Training time preference?
*
Early Morning (5:00-8:00am)
Late Morning (8:00-11:00am)
Midday (11:00am-2:00pm)
Afternoon (2:00pm-5:00pm)
Evening (5:00pm-8:00pm)
What level of investment are you comfortable with for coaching?
Please Select
$50 p/week
$50-$100 p/week
$100+ p/week
Please Choose
Are you committed to structured coaching for at least 12 weeks?
Yes
No
Is there anything that could potentially prevent you from showing up consistently over the next 12 weeks?
Submit
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