Project muscle Coaching Application

Online Coaching Consultation form

Lets connect and get you into the best shape of your life!
Name*

First NameLast Name
Email*
example@example.com
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Please state your age.*
Please state your weight in kg.*
This can be estimated if you don't have scales.
Please state your height in feet/inches.*
this can be estimated if you don't know.
Total beginnerI have some gym experience but not sure how to get the results I'm afterI want to push myself aesthetically for a photo shootI have a good knowledge of training and nutrition but need help getting to the next level
YesNo
Please share one short term and one long term goal you would like to achieve:*
List any physical activities outside of work and gym?*
What is it that you feel is currently getting in the way of achieving your goals?*
What is your biggest motivation for making a change?*
What is your current occupation and how many hours per week do you currently work?*
Are you willing to invest as little as £3 - £5 a day to have the body and mind you've always wanted?*
ITS A NO BRAINER!!
Fat lossIncreased muscle massImprove health
Meal plan/food planMacros/calorie plan
MaleFemale
Please state foods you like. ( fill out if chosen meal plan option )
some can get added to plan within reason
Please state foods you dislike. ( fill out if chosen meal plan option )
These wont be added into your plan.
Do you have any diagnosed health problems?*
Has anyone in your immediate family developed heart disease before the age of 60?*
Are you currently a smoker?*
Are you on any medication?*
Do you have any medical conditions please state below?*
To give me an understanding of how many calories your currently on, please give me an average breakdown of your daily food intake? *
Breakfast,lunch,dinner all snack sugary drinks
List any areas/body parts you wish to focus on: *
legs,arms etc...
What are your expectations and why do you want to work with Project muscle Coaching? *
For example i think your the coach to take me into the right direction
Please rate your readiness for change *

1. not sure if i'm ready yet 5. hell yes i'm ready
What gym will you be training at?*
Answer none if home workout:
If home workouts please state all equipment that you have:*
Answer none if gym workouts:
Transformation to do list:

- take and upload 3 pictures of yourself. one from the front

rear and side ( pictured )

- Measure your waist just below the belly button
Please read and sign the T&C:

1) Cancellation

will be made within 30 days of next payment

2) Information

All the information provided is correct and to the best of my knowledge

I understand all the information given will be held confidential

3) Responsible

I understand that project muscle coaching will not be held resbonsible for myself if becoming unwell following mealplan/macroplan

4) Photographs

Before and after photos can be posted online to help support the business
YesNo
Date*

MonthDayYear
Date
Signature:*

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PROJECT MUSCLE COACHING BELIEVE IN YOURSELF!

LETS START THIS AMAZING FITNESS JOURNEY TOGETHER!
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Online Coaching Consultation form

PROJECT MUSCLE COACHING BELIEVE IN YOURSELF!