Rothermel Strength Coaching Assessment
Complete this 3-minute Coaching Assessment and I'll personally review your responses to determine which coaching option is the best fit for your goals, experience, and lifestyle. There is absolutely no obligation. This simply helps me understand where you are today and how I can help you move forward. I'll contact you within 24 hours with your next steps.
Contact Information
Full Name
*
First Name
Last Name
Email Address
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Referral and Coaching Interest
How did you hear about Rothermel Strength?
*
Instagram
Facebook
Google
Friend / Referral
Current Client
Other
Which coaching option are you most interested in?
*
Foundations
Performance Coaching
Transformation Coaching
I'm not sure yet
Goals and Motivation
Primary goal
*
Lose body fat
Build strength
Build muscle
Improve my overall health
Increase energy
Improve athletic performance
Other
Why is this goal important to you?
*
Challenges and History
What has been the biggest obstacle preventing you from reaching your goal?
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Lack of consistency
Nutrition
Accountability
Motivation
Time
Not knowing what to do
Injuries or pain
Other
How long have you been trying to achieve this goal?
*
Please Select
Less than 6 months
6–12 months
1–3 years
More than 3 years
Have you worked with a personal trainer or online coach before?
*
Yes
No
Training and Nutrition Readiness
How many days per week can you realistically strength train?
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2
3
4
5+
Not sure
Which statement best describes your current nutrition?
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I don't pay much attention to it.
I try to eat healthy but struggle with consistency.
I track calories/macros occasionally.
I consistently track my nutrition.
What type of support do you feel you need most?
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I mainly need a structured workout plan.
I need accountability.
I need nutrition guidance.
I need someone to guide me through everything.
How ready are you to make meaningful changes over the next 90 days?
*
Just exploring my options.
Interested but not ready yet.
Ready to get started soon.
I'm ready to start immediately.
Submit Assessment
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