Coaching Application Form
Thank you for your interest in coaching with me! This form helps me learn more about you, your goals and where you're currently at so I can determine how I can best support you. Please answer as honestly as possible.
About You
Full Name
*
First Name
Last Name
Email Address
*
example@example.com
Mobile Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Age
*
Occupation
Coaching Preferences
What type of coaching are you interested in?
*
Face-to-Face Personal Training
Online Coaching
Not Sure Yet
Are you currently working with another coach or following another training program?
Yes
No
If interested in Face-to-Face Personal Training, what suburb are you located in?
How did you hear about me?
*
Please Select
Instagram
TikTok
Referral
Friend / Family
Gym
Other
Your Goals
What are your main goals?
*
Fat Loss
Build Muscle
Get Stronger
Improve Confidence
Improve Nutrition
Increase Energy
Improve Overall Health
Create Sustainable Habits
Other
Why are these goals important to you?
*
What would success look like for you over the next 6 months?
*
Current Lifestyle
How many days per week are you currently exercising?
*
0
1-2
3-4
5+
Do you currently have gym access?
*
Yes
No
How would you describe your current nutrition?
*
Very inconsistent
Somewhat consistent
Mostly consistent
Very consistent
How many litres of water do you drink each day?
*
Please Select
Less than 1L
1-2L
2-3L
3L+
Challenges
What do you feel is currently holding you back?
*
Which areas do you struggle with most?
Consistency
Nutrition
Accountability
Motivation
Confidence in the gym
Knowing what exercises to do
Time management
Emotional eating
Commitment
On a scale of 1-10, how committed are you to achieving your goals right now?
*
1
2
3
4
5
6
7
8
9
10
Why did you choose that number?
*
Are you willing to follow a structured plan and communicate openly throughout the coaching process?
*
Yes
No
Final Question's
When would you ideally like to get started?
ASAP
Within 2 Weeks
Within 1 month
Just exploring options
Is there anything else you'd like me to know before we chat?
Submit Application
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