Coaching Client Questionnaire

1

Full Name* This field is required.

First Name

Last Name

2

Email Address* This field is required.

example@example.com

3

Phone Number

Please enter a valid phone number.

4

What are your main goals for coaching? (short term and long term)* This field is required.

5

What challenges are you currently facing?* This field is required.

6

How would you describe your current level of motivation?* This field is required.

Very Motivated

Somewhat Motivated

Neutral

Somewhat Unmotivated

Not Motivated

7

Have you worked with a coach before?* This field is required.

Yes

No

8

What area of fitness/Health do you want to focus on?* This field is required.

Strength training

Cardiovascular Health

Diet

Weight-loss

10

What is your preferred time of availability?

Morning

Afternoon

Evening

No Preference

11

In a short summary can tell me about your dietary habits

12

How did you hear about our coaching services?

13

What is your experience in gym settings? (Public / Home / Sport conditioning gym)

14

Is there anything else you’d like your coach to know?