Online Coaching Application

1

What's your name?

First Name

Last Name

2

What's your phone number?

Please enter a valid phone number.

3

What's your email address?

example@example.com

4

How old are you, and what's your gender?

5

What's your current profession?

6

How active is your lifestyle outside the gym?

Sedentary

Lightly active

Moderately active

Very active

8

Have you worked with a coach before?

YESNO

9

Do you have any injuries, physical limitations, or foods you avoid/are allergic to? If so, please describe

10

What's your primary fitness goal?

Gain Muscle

Weight Loss (Burn Fat)

Body Recomposition

General Health & Energy

11

Why does this goal matter to you — and what would achieving it actually change in your life or the people around you?

12

How soon are you hoping to reach this goal?E.g. 3 months, by the end of summer, etc...

13

What's stopped you from making consistent progress before? Select all that apply

Lack of structure

Inconsistent Motivation

Poor Nutrition Habits

No accountability

Time Management

Financial Priorities

14

On a scale of 1–10, how committed are you to reaching this goal?

1
2
3
4
5
6
7
8
9
10

15

Why that number?

16

Would you say you're interested in changing — or fully committed to making it happen now?

I’m committed - I'm done playing around

I'm interested still weighing my options

17

If we're a good fit, are you in a position to start right away?

Yes! - I'm ready to start immediately

I need a few days to get organized

18

What level of support are you currently looking for?

Full coaching (training, nutrition, check-ins, accountability)

I'm not sure - I'd like to talk it through

19

What would make this 100% worth it to you?

20

Let's talk more in depth!