Coaching Application Form
Share your goals, current stats, and availability to apply for coaching.
Personal Information
Full Name
*
First Name
Last Name
Email Address
*
example@example.com
Phone Number
Please enter a valid phone number.
Format: +44 0000 000000.
Instagram Handle
Date of Birth
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Gender
*
Male
Female
Other
Current Stats
Height
Enter your height in a format that works for you
Current Weight
Goal Weight
Coaching Preferences
What type of coaching are you interested in?
*
Physique Transformation
Fat Loss
Muscle Gain
Lifestyle Coaching
Other
How did you hear about JRB Coaching?
Please Select
Instagram
Facebook
Google Search
Referral
Other
Body Fat % (if known)
Optional
Training Background
Years training consistently
Current training program description
Keep blank if you don't currently participate in physical activity
Gym or home training
Please Select
Commercial Gym
Home Gym
Both
No Equipment
Equipment available
Nutrition
Currently tracking food
Please Select
Yes calories and macros
Yes calories only
No but consistent
No tracking
Current daily calories
Dietary restrictions or allergies
Coaching History
Worked with a coach before
Yes
No
What worked and what did not
Programs tried in the past
Biggest frustration with progress
Coaching Readiness
Looking to start
Please Select
Immediately
Within 2 weeks
Within a month
Just exploring
How many times per week can you train?
Package interested in
Please Select
Online Coaching
Personal Training (Coming Soon)
Commitment acknowledgement
*
I acknowledge that coaching requires consistency and follow-through.
Health & Fitness Background
How would you describe your current activity level?
*
Please Select
Sedentary
Lightly Active
Moderately Active
Very Active
Do you have any current or past injuries or medical conditions?
Are you currently taking any medications or supplements?
Lifestyle Habits
How many days per week do you currently exercise?
Describe your typical daily nutrition.
How many hours of sleep do you get on average per night?
Is there anything else you'd like your coach to know?
Submit Application
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