Strong, Wild & Free Fitness Client Application
Thank you for your interest in working together! Please take a few minutes to complete this application. This helps me determine whether we're a good fit and allows me to provide the best possible coaching experience.
Basic Information
First Name
*
Last Name
*
Email Address
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Age
*
Occupation
Service Interest
*
1-on-1 Personal Training
Online Coaching
Hybrid Coaching
Not Sure Yet
Goals
Top fitness goals
*
Fat Loss
Muscle Gain
Improve Strength
Improve Endurance
Improve Mobility
Improve Body Composition
Build Confidence
Other
Explain Your Goal
Why is this goal important to you?
What would success look like in the next 3-6 months?
*
Training History
Have you worked with a coach or personal trainer before?
*
Yes
No
What does your current exercise routine look like?
*
What types of training do you enjoy?
*
Strength Training
Cardio
HIIT
Mobility Work
Pilates
Yoga
Sports Conditioning
Functional Training
Other
What types of training do you dislike?
Strength Training
Cardio
HIIT
Mobility Work
Pilates
Yoga
Sports Conditioning
Functional Training
Other
Health & Injury History
Do you have any current injuries, limitations, or areas of pain?
*
Yes
No
If yes, please explain your current injuries, limitations, or areas of pain.
Has a doctor ever advised you against exercise or physical activity?
*
Yes
No
If yes, please explain the advice you received and any relevant details.
Are there any health concerns we should consider when designing your program?
Lifestyle
How many days per week can you realistically commit to training?
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2 days
3 days
4 days
5 days
6 days
How much time can you dedicate to each workout?
*
Please Select
20 to 30 minutes
30 to 45 minutes
45 to 60 minutes
60+ minutes
What is your biggest challenge staying consistent?
*
Please Select
Time
Motivation
Accountability
Knowledge
Family Commitments
Work Schedule
Other
What do you feel has held you back from reaching your goals in the past?
Commitment & Coaching Fit
What are you looking for in a coach?
*
Anything else you'd like your coach to know about you or your goals?
Online Coaching Only
Do you currently belong to a gym?
*
Yes
No
What equipment do you have access to?
*
Dumbbells
Barbell
Kettlebells
Resistance Bands
Cable Machine
Bench
Pull-Up Bar
Treadmill
Stationary Bike
Rowing Machine
Other
Are you comfortable recording exercise videos for form feedback if needed?
*
Yes
No
Submit Application
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