ONLINE COACHING APPLICATION FORM
Basic Info
Name
First Name
Last Name
Email
example@example.com
Age
Gender
Female
Male
Current Status
Height
Weight
Occupation (and how active your job is)
Average daily steps (if known)
Goals
What is your main goal?
Why is this goal important to you?
Health & Injuries
Do you have any current of past injuries?
Any medical conditions I should know about?
Training Background
Are you currently exercising?
How long have you been active?
What type of training have you been doing?
Where do you train? (home or gym)
Nutrition
How would you describe your current diet?
Do you track calories/macros?
Any dietary restrictions or preferences?
Biggest struggle with nutrition?
Do you drink alcohol?
Yes
No
Do you smoke?
Yes
No
Commitment
On a scale of 1-10, how committed are you?
Are you ready to follow a structured plan?
Yes
No
What has stopped you from reaching your goal so far?
Coaching Expectations
What do you expect from me as your coach?
What would a successful result look like to you?
Final
Anything else you would like to add?
Submit
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