Request edit access
Train with Coach C
Please fill out the form with the following information so I can provide you with the most relevant service possible.  

-Coach C
Sign in to Google to save your progress. Learn more
Name *
First and last name
Email *
Phone number
What is your age, height, and weight? *
Why are you interested in working with Coach C? *
What is your primary nutrition goal? *
What type of programming are you interested in? *
What are your specific training goals? *
What are you looking for in a performance coach or personal trainer? *
What is your athletic background? *
What injuries should I be aware of *
What pains or physical ailments are you currently working through? *
Are you cleared by your doctor for rigorous exercise or training? *
Are you currently on any medications? If so, what meds and what are they for? *
Have you hired a coach or trainer in the past?  *
Are you currently engaged in exercise or physical training? *
Please provide a summary of your training routine on an average week. *
Why would you be a solid client? *
How committed are you to training and reaching your physical fitness goals? *
I have a hard time being consistent with exercise
I am extremely consistent and rarely miss training days
Are you interested in training at your residence? *
Please provide any additional comments you feel will be beneficial.
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report

Google Forms