Coaching Questionnaire

Questionnaire
Personal Info
Name

First NameLast Name
DOB

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Email
example@example.com
Phone Number

Area CodePhone Number
Occupation
Starting Bodyweight
Goals
What are your primary health & fitness goals?
What is your main motivation(s) to acheive these goals?
Do you have any specific events or milestones? (Competition / holiday / wedding etc.)
Exercise & Activity
What type of excercise do you currently do? (E.g. strength training, cardio, sports, other)
How often, and for how long do you train each week?
Do you have any current training goals or performance targets?
Current Nutrition & Eating Habits
Can you describe your typical daily eating pattern? (It's important you are absoltuely honest & detailed as possible here, we're heading to making a change, but I need to ensure I'm working around your actual lifestyle / habits where possible)
Do you currently track your nutrition? Select which you do
How would you rate your current energy levels throughout the day? (low, moderate, high? Do you burn out later in the day? Wake up groggy but improve as the day goes on?)
Dietary Preferences & Restrictions
Do you follow any specific dietary protocols? (e.g. vegan, vegetarian)
Do you have any food allergies or intolerances?
Any particular foods you can not tolerate eating preference wise? Please be thorough!
Hydration & Electrolytes
How much water do you typically drink daily?
Do you take any electrolyte / hydration supplements?
Sleep & Recovery
Describe your typical sleep pattern (hours / night, bed time, wake time)
Do you tend to feel well rested when you wake in the morning?
How would you rate your recovery rate from workouts? (1-10)
Lifestyle & Stress
What does a typical day in your life look like? (Work, family, social commitments etc)
Do you experience high levels of stress day to day?
Supplement Use
Are you currently using any supplements? If so, detail them (e.g. protein powder, vitamins, minerals etc.)
Do you now, or have you ever used PEDs? If so please describe current cycle and history of use.
Medical History & Injuries
Do you have any pre-existing medical conditions that might affect your nutrition and / or fitness, or ability to follow a fitness and/or diet programme?
Do you have any injuries that affect training in any way?
Have you had any recent surgeries?
Photos
Please upload 3 images of you; Front, side & rear relaxed showing upper & lower body. This is so I have a firm understanding of body composition.

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Terms of Service - PLEASE READ CAREFULLY
Coaching Agreement
By signing this agreement, you confirm that you understand and accept the terms of coaching services provided by Sam Hinks / SJH Coaching Ltd.

These terms apply to all coaching services including nutrition coaching, training programming and lifestyle guidance.
Commitment Period
The minimum commitment period for coaching services is three (3) months.

This commitment period exists to allow sufficient time for meaningful progress to be made through training, nutrition and habit development. Sustainable results require consistency and time.

If a client chooses to cancel before the end of the three (3) month commitment period, the remaining balance for the agreed term remains payable, regardless of whether the client continues to participate in coaching services.
Payments
Coaching services are billed monthly in advance unless otherwise agreed.

Payments must be made on time to maintain access to coaching services.

Failure to make payment may result in suspension or termination of coaching services until payment is received.

SJH Coaching Ltd reserves the right to adjust pricing in the future. Clients will always receive reasonable notice of any pricing changes.
Payment Disputes & Chargebacks
By purchasing coaching services, the client acknowledges that they are entering into a service agreement for personalised coaching, guidance and support.

If a client experiences any issues with the service provided, they agree to contact Sam Hinks / SJH Coaching Ltd directly to seek resolution before initiating any payment dispute or chargeback through their bank or payment provider.

Initiating a chargeback for services that have already been delivered, including personalised programmes, coaching support, or digital materials, may be considered a breach of this agreement.

SJH Coaching Ltd reserves the right to provide this signed agreement, records of service delivery, communication history and programme materials to the relevant payment provider in order to dispute any chargeback claims.

Where a chargeback is determined to be fraudulent or made in bad faith, SJH Coaching Ltd reserves the right to pursue recovery of the outstanding balance and any associated administrative costs.
Cancellation Notice
After the minimum commitment period has been completed, clients must provide at least two (2) weeks notice to cancel coaching services.

Cancellation notice must be submitted before the next billing cycle. Any payments due within the notice period must be settled in full.
Pause Notice
Clients may request to pause their coaching.

Pause requests must be made at least two (2) weeks before the next scheduled payment.

If a pause request is made after this period, the next payment will still be processed in full.

Pause periods are granted at the discretion of SJH Coaching Ltd.
Refund Policy
Payments for coaching services are generally non-refundable.

However, exceptional circumstances may be reviewed on a case-by-case basis at the sole discretion of Sam Hinks / SJH Coaching Ltd.
Cooling-Off Period Waiver
Under the Consumer Contracts Regulations 2013, clients normally have the right to cancel a purchase within 14 days.

By signing this agreement, you explicitly request that coaching services begin immediately.

You acknowledge that coaching services may include the delivery of personalised plans, digital programmes, educational materials and coaching support.

By requesting that services begin within the 14-day cancellation period, you acknowledge and agree that you waive your right to cancel once coaching services have begun or digital materials have been delivered.
I request coaching services to begin immediately and understand that I waive my 14-day cooling-off right once services or digital materials are delivered.
Results Disclaimer
Coaching services are designed to support improvements in health, fitness, performance and body composition.

However, individual results will vary, and no guarantees are made regarding fat loss, muscle gain, performance improvements, or other outcomes.

Results depend on many factors including consistency, adherence, lifestyle, health status and personal circumstances.
Health & Medical Disclaimer
Sam Hinks is not a licensed medical professional, doctor, physiotherapist or registered dietitian.

The information provided through coaching services is intended for educational and lifestyle guidance purposes only and should not be interpreted as medical advice.

Coaching services are not intended to diagnose, treat or cure any medical condition.

Clients should consult a qualified healthcare professional before making significant changes to diet, training or supplementation, particularly if they have existing health conditions.

If you are currently managing a medical condition, you remain responsible for monitoring your condition and following advice from your healthcare provider.
Assumption of Risk
Participation in exercise, training and lifestyle change carries inherent risks, including the risk of injury.

By participating in coaching services, you acknowledge these risks and accept responsibility for your own health, safety and wellbeing.

Sam Hinks and SJH Coaching Ltd will take reasonable care in providing coaching services but cannot eliminate all risks associated with exercise and lifestyle change.
Limitation of Liability
SJH Coaching Ltd will not be held responsible for injuries, health complications, or losses arising from the client’s participation in training, nutrition or lifestyle programmes, except where liability cannot be excluded under UK law.

Clients participate in coaching services voluntarily and accept responsibility for their own actions and decisions.
Personal Responsibility for Training
Clients are responsible for ensuring that all exercises are performed safely and within their own physical capabilities.

If an exercise causes pain, discomfort, or injury risk, the client must stop the exercise and notify their coach.

Clients acknowledge that training programmes are provided based on the information they supply and that they remain responsible for using appropriate judgement during training sessions.

Clients should seek medical advice before continuing exercise if they experience pain, injury, or health concerns.
Mental Health and Wellbeing
Coaching services are intended to support improvements in health, fitness and lifestyle habits.

Coaching services are not a substitute for psychological counselling, therapy or medical treatment.

Clients experiencing significant stress, anxiety, eating disorders, or other mental health concerns should seek support from a qualified healthcare professional.

Sam Hinks and SJH Coaching Ltd are not responsible for any psychological or emotional outcomes related to coaching participation.
Intellectual Property
All coaching materials including training programmes, nutrition plans, educational resources and communication content remain the intellectual property of Sam Hinks / SJH Coaching Ltd.

These materials are provided for personal use only.

Clients may not reproduce, distribute, share, sell, or publish any coaching materials without prior written permission.

Unauthorised distribution of coaching materials may result in termination of services and potential legal action.
Performance Enhancing Substances
Sam Hinks and SJH Coaching Ltd do not encourage or condone the use of illegal performance enhancing substances.

Any discussions surrounding such substances are for educational purposes only and should not be interpreted as advice or recommendation.

Clients remain fully responsible for their personal decisions regarding any substances they choose to use.
Client Conduct
SJH Coaching Ltd reserves the right to terminate coaching services immediately if a client engages in abusive, threatening, inappropriate, or disrespectful behaviour toward Sam Hinks or associated staff.

In such circumstances, no refund will be provided.
Acknowledgement
By signing this agreement, you confirm that:

• you have read and understood these terms
• you accept the risks associated with training and lifestyle change
• you understand the minimum commitment period
• you accept the payment and cancellation policies
• you agree to participate in coaching services voluntarily
Please sign to show you understand & accept the above terms

My Products

LITE Online Coaching

Perfect if you’re confident pushing on yourself and just need structure and accountability.

• Personalised training plan

• Personalised macro targets

• Full app access (tracking, progress, recipes)

• Monthly check-in (form-based)

• Plan adjustments after check-in

£75.00 Quantity

CORE Online Coaching

This is where most people sit. More hands-on, more accountability, better results.

Everything in Lite, plus:

• Weekly check-ins with video feedback

• Fully personalised diet plan including meals, macros and micros

• Direct messaging support Monday to Friday

• Ongoing adjustments based on progress

£125.00 Quantity

ELITE Online Coaching

For those who want this handled fully and don’t want to leave results to chance.

Everything in Core, plus:

• Monthly 1:1 video call (30 mins)

• Priority messaging support with same-day responses (Mon–Fri)

• Deeper check-in feedback with voice notes and detailed breakdowns

• Mid-week adjustments when needed to keep progress moving

• Higher level accountability across training, nutrition and lifestyle

This is a high-touch service where I’m working closely with you week to week to make sure nothing slips and progress stays consistent.

£180.00 Quantity

Nutrition & Powerlifting Coaching

Please select this option if we have discussed powerlifting programming alongside your nutrition coaching

£175.00

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Questionnaire

Personal Info

Goals

Exercise & Activity

Current Nutrition & Eating Habits

Dietary Preferences & Restrictions

Hydration & Electrolytes

Sleep & Recovery

Lifestyle & Stress

Supplement Use

Medical History & Injuries

Photos

Terms of Service - PLEASE READ CAREFULLY

My Products*

My Products