Coaching Application
Please fill in below
Name
First Name
Last Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
What is your gender?
Male
Female
Other
What is your age?
What is your Instagram handle?
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Goals
What are your fitness goals?
Weight Loss
Muscle Gain
Improved Fitness & Endurance
Training for an event ie. Hyrox
Overall Health & Fitness
Other
Elaborate on the chosen goals above
What do you think has held you back from achieving your goals previously?
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Nutrition & Supplementation
Do you currently follow a diet?
What supplements are you using if any?
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Activity
What is your current fitness level?
Beginner
Intermediate
Advanced
How often do you exercise?
Zero
1-2 days per week
3-5 days per week
6-7 days per week
What days would you be available to train?
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Occupation
Mainly sitting
Mainly standing and some walking during the day
Standing or walking all day
Hard physical demanding work
Do you use a step tracker?
How many days can you commit to the gym?
1
2
3
4
5
6
7
How much time can you commit to training each day?
What is your preferred training method?
Weight Training
Cardio
Hybrid (Weights & Cardio)
Other
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Current Condition
Height (cm)
Weight (kg)
Do you have any medical conditions or injuries?
Final Questions
Have you worked with a coach before and what are your motivations for enquiring about coaching?
Any additional information you want to add? This can be very helpful for me if there is anything else you would like to add
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