Coach Jen - Training Consultation Form
Share your goals, availability, and current fitness details to get started.
Full Name
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First Name
Last Name
Email Address
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example@example.com
Phone Number
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Please enter a valid phone number.
Format: (000) 000-0000.
Biological sex assigned at birth
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Female
Male
Age
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Current Weight
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Height
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What are your main fitness goal and what is your timeline for achieving it?
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What have you tried before and why did it not work?
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What is your biggest obstacle to showing up consistently?
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Are you currently working with any other coach or program?
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Are you ready to invest in yourself and start within the next two weeks?
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Yes
No
Describe your current eating habits. What does a typical day of eating look like for you?
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Do you have any dietary restrictions, allergies, or foods you absolutely will not eat?
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How would you describe your current physical activity level?
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Sedentary (little or no exercise)
Lightly active (light exercise 1-3 days/week)
Moderately active (moderate exercise 3-5 days/week)
Very active (hard exercise 6-7 days/week)
Other
Do you have any medical conditions or injuries that affects your ability to exercise?
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Are you currently under doctor's care for any medical condition, and if so what is it?
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Have you been told by a doctor to avoid or limit any type of physical activity?
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Yes
No
Are you pregnant or postpartum?
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Yes
No
Preferred days/times for training
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How did you find me?
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Disclosure
By submitting this form, you confirm that you have consulted or will consult your physician before beginning any new fitness program, and that the information provided is accurate to the best of your knowledge.
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