12-Week Online Coaching Application

12-Week Online Coaching Application — Paul Jackson Fitness

Complete this form honestly so Paul can assess fit for personalized coaching.
Paul Jackson has spent more than eight years developing his physique, training knowledge, discipline, and understanding of what it takes to make lasting progress. His coaching approach focuses on personalized training, practical nutrition guidance, consistency, accountability, and honest communication—not shortcuts or unrealistic promises. Paul works closely with each client to build a realistic plan around their goals, experience, schedule, equipment, and lifestyle.
Personalized 12-week workout program; general nutrition and habit guidance; weekly progress check-ins; accountability and direct coaching support; adjustments based on progress and feedback; guidance tailored to your goals, schedule, experience, and equipment. Complete program investment: $450. Results vary and depend on effort, consistency, communication, lifestyle, and individual factors.
Contact Details
Full Legal Name

First NameMiddle NameLast Name
Preferred Name
Email Address
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Phone Number
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Preferred Contact Method
Age
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City, State, and Country

Street Address

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Instagram / TikTok Username
Goals and Background
Primary Goal

Other
Current Height (US or metric units)
Current Weight (US or metric units)
Target Weight or Desired Outcome
How Long Have You Trained Consistently?
Current Weekly Training Schedule
Gym Access
Previous Programs: What Worked and What Did Not
Biggest Obstacles

Other
Why Do You Want Coaching Now?
What Result Would Make the Next 12 Weeks Successful?
Nutrition and Lifestyle
Typical daily eating routine
Dietary preferences or restrictions
Food allergies
Average sleep per night (hours)
Work schedule and activity level
Current supplements
Alcohol frequency
Health and Readiness
Please describe any current or past injuries, medical conditions, pain, medications, surgeries, or physical limitations we should know about
Has a medical professional advised you not to exercise?
Are you pregnant or recently postpartum?
Emergency contact name and phone
Acknowledgement
Coaching Fit
I am willing to train consistently, follow the plan, communicate honestly, and complete weekly check-ins
How soon are you ready to begin?
Are you prepared to make the $450 investment for 12 weeks?
How did you hear about Paul?
Anything else Paul should know?
Final Consent
Consent to be contacted regarding this application
Certification that my answers are accurate and complete
Full name (electronic acknowledgement)

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Date

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12-Week Online Coaching Application — Paul Jackson Fitness

Contact Details

Goals and Background

Nutrition and Lifestyle

Health and Readiness

Coaching Fit

Final Consent