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? (desk job, construction, student, etc.)

6

How active is your lifestyle outside the gym?

Sedentary

Lightly active

Moderately active

Very active

8

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

9

What's your primary fitness goal?

Gain Muscle

Weight Loss (Burn Fat)

Body Recomposition

General Health & Energy

10

In the past 3–6 months, how much progress have you made toward that goal? Be honest.

11

Why is this goal important to you? Does achieving it impact anyone else in your life?

12

Describe what your day-to-day life looks like once you've hit this goal.

13

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

14

What has stopped you from making consistent progress? (Select all that apply)

Lack of structure

Inconsistent Motivation

Poor Nutrition Habits

No accountability

Time Management

Financial Priorities

15

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

1
2
3
4
5
6
7
8
9
10

16

Why that number?

17

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

18

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

19

How ready are you to invest in the coaching that gets you lasting results?

I've been ready — just need the right coach

I know I need help & I'm exploring options

20

Have you ever made a real financial or time investment toward your fitness before?

YESNO

21

What would make this 100% worth it to you?

22

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

23

Let's talk more in depth!