Coaching Application Form

Name *

Name

First Name

Last Name

Email Address *

Gender *

Date of Birth *

Date of Birth

YYYY

Have you worked with an online coach before?

What is your overall, long-term goal? *

Why do you want to achieve this goal? *

Why have you not achieved this goal already? *

What are your biggest fitness struggles? *

How much have you invested previously into your health, fitness and lifestyle goals? *

On a scale of 1-10, how happy are you with your body at the moment? *

10 being perfectly happy, 1 being not happy at all

On a scale of 1-10, how determined are you to achieve your goal? *

10 being you’d do anything, 1 being you’re not determined at all

What is your current experience with lifting weights? *

What is your current training schedule (if at all)? *

How many times a week do you train?/what do you usually do (weights/cardio)?

Do you have any injuries or health conditions I should be aware of? If yes, do these prevent you from doing certain exercises or movements? *