Over 50 Muscle Coaching Program Application

1

Please enter your full name* This field is required.

First Name

Last Name

2

What is your email address?* This field is required.

example@example.com

3

How old are you?* This field is required.

4

Where are you located? (City, State or Region)* This field is required.

5

What are your main goals with this muscle coaching program?* This field is required.

6

What is your current status regarding muscle training?* This field is required.

Beginner (new to muscle training)

Intermediate (some experience)

Advanced (regular training experience)

7

Have you made any past attempts at muscle training or fitness programs? Please describe.

8

Do you have any health considerations or conditions we should be aware of?

None

Joint issues or arthritis

Heart conditions

Diabetes

High blood pressure

Other

9

Describe your support system for your fitness journey (family, friends, coach, etc.)

10

Which of the following habits might affect your progress?

Smoking

Irregular sleep patterns

Poor nutrition

Lack of consistency in training

Other

11

What motivates you to seek coaching at this stage?* This field is required.

12

Are you ready to invest time and resources in this coaching program?* This field is required.

Yes, fully committed

Somewhat ready, need more information

Not ready at this time

13

Please describe your typical weekly schedule and availability for Exercise.* This field is required.

14

What is your phone number?* This field is required.

Please enter a valid phone number.

15

Any additional information you would like to share?