SK Strength Pre-Consultation Form

1
Name* This field is required.
First Name
Last Name
2
Age* This field is required.
3
Mobile Phone Number* This field is required.
Please enter a valid phone number.
4
Email* This field is required.
example@example.com
5
Occupation + usual working hours* This field is required.
6
How were you made aware of my services?* This field is required.
Facebook
Instagram
Gym
Prior relationship
Referred by friend/family
Facebook/Instagram Ad
Email List
SK Strength Show Podcast
Previous challenge
Other
7
If referred please write their name below
8
How long have you been wanting to make a change to your lifestyle?* This field is required.
0-1 year
1-2 years
3-4 years
5+ years
9
How important to you is it that you make these changes?* This field is required.
1-2
3-4
5-6
7-8
9-10
10
Have you set yourself your own goals previously? If so what were they?* This field is required.
11
Did you achieve these goals?* This field is required.
No
Some results
Yes
12
What did you try when pursuing these goals? (Tick all that apply)* This field is required.
Hired a coach - in person
Hired a coach - online
Followed a program
Gym classes
Made own workouts
Diet clubs (Slimming world etc)
Other
13
When working towards these goals, what were the main barriers you had to overcome? (Select all that apply)* This field is required.
Lack of knowledge
Lack of understanding how to apply knowledge
Lack of time
Lack of motivation
Social/work life
Family commitments
Unsustainability of the approach you take (e.g. very extreme weight loss)
Other
14
How would you rate your current activity level?* This field is required.
Sedentary (Little to no activity, inactive job)
Lightly active (Little daily activity, exercise 1-3 times per week)
Moderately active (Moderate amount of daily activity/walks/job, exercise 3-5 time per week)
Highly active (Active daily through walks/job, exercise 5-7 times per week)
15
How would you rate your current nutrition habits? (1 = Terrible, 5 = Amazing)* This field is required.
1
2
3
4
5
16
Describe why you have put that number as your answer* This field is required.
17
What is your current gym experience? (Select all that apply)* This field is required.
Classes
Cardio
Resistance machines
Free weights (dumbbells, barbells)
Home workouts
Daily walks
Other
18
When it comes to the gym, exercise and movement; what is it that you enjoy doing?* This field is required.
19
Is there anything specific you want to get better at in these areas? (E.G. I want to improve my squat technique)* This field is required.
20
And what do you dislike doing?* This field is required.
21
When it comes to achieving your goal, what do you feel like you need support with the most? (Select all that apply)* This field is required.
Accountability - confirmation you are doing the right thing
Structure - knowing what to do and when
Consistency - support to overcome barriers that stop you continuing
Motivation - someone to support you through the process and get you going
Education - knowing why and when to apply the principles of health/fitness to your life
22
In your words, what are the main outcomes you would like to see from personal training/online coaching?* This field is required.
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How long would you expect to be able to achieve that?* This field is required.
3 months
6 months
6-12 months
1-2 years
3+ years
24
Time preference for PT sessions?* This field is required.
Early morning (7am-9am)
Late morning (10am-12pm)
Online Coaching only (no in person sessions)
25
Is there anything else you feel would benefit my understanding of you and what you want to achieve?* This field is required.
Should be Empty: