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Hi there, please fill out and submit this form with as much detail as you can - the more I learn about you the more I can help you!
24
Questions
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1
Full Name
*
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First Name
Middle Name
Last Name
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2
Email Address
*
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example@example.com
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3
Mobile Number
*
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Area Code
Phone Number
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4
Are you currently an aerialist?
*
This field is required.
Yes
No (Don’t worry we support non aerialists too!)
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5
Which aerial disciplines do you train?
*
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Pole
Aerial hoop / Lyra
Silks
Trapeze
Heels / dance
Other
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6
How long have you been training aerial?
*
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Brand new / not started yet
0–6 months
6–12 months
1–3 years
3+ years
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7
Current aerial training frequency
*
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0x/week
1x/week
2x/week
3x/week
4+ times/week
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8
What other training do you currently do?
Gym strength training
Home workouts
Running/cardio
Yoga/Pilates
None right now
Other
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9
What are you most trying to improve right now?
*
This field is required.
Pulling strength
Overhead / shoulder stability
Grip / forearms
Core strength & control
Lower body strength
Endurance / conditioning
Flexibility/mobility
Confidence / consistency
Body composition (tone/strength)
Injury resilience
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10
What would make the next 12 weeks a HUGE win?
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11
What is currently getting in the way of achieving that?
*
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12
Where will you train most often?
*
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Gym
Home
Both
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13
What equipment do you have access to?
Dumbbells
Kettlebells
Barbell + plates
Pull-up bar
Resistance bands
Cable machine
Machines (gym)
None / not sure yet
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14
How many days per week can you realistically commit to strength training?
*
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1 day
2 days
3 days
4+ days
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15
How long can you realistically train per session?
*
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20–30 mins
30–45 mins
45–60 mins
60+ mins
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16
Are there any upcoming events or travel in the next 8–12 weeks that could affect your training?
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17
Injuries, pain, or medical conditions to know about
*
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18
Currently pregnant or postpartum
*
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No
Pregnant
Postpartum (under 6 months)
Postpartum (6–12 months)
Other
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19
Cleared to exercise / strength train
*
This field is required.
Yes
Not sure
No (please explain)
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20
How would you describe your nutrition right now?
*
This field is required.
I feel confident and consistent
I’m inconsistent / all over the place
I under-eat / forget meals
I overeat / snack a lot
I’m not sure what I’m doing
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21
What would you like help with?
*
This field is required.
Eating enough to support training
Protein targets
Meal ideas / planning
Energy levels
Recovery
Body confidence / healthier habits
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22
Dietary requirements or allergies
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23
Why do you want coaching specifically with Nicola?
*
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24
Are you ready to start in the next 1–2 weeks if accepted?
*
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Yes
No (tell me your timeline)
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