Face to Face Coaching Consult

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Please be as accurate as possible with all information given. If I need any more information I will be in touch ASAP.

Email *

Unfortunately all regular face to face coaching slots are full. If you'd like to be added to my waiting list, please fill out the form below and you'll be contacted when a slot is free.

Alternatively, one off face to face sessions may be available throughout the week - Please message me on instagram @reecegroenendal or email reece@rpgcoaching.com.au for any available times.

Full Name *

Height / Age / Weight *

Face to Face PT is located out of World Gym Cairns and begins at $100 p/w.

If you are not a member here, the casual fee will be brought down from $20 to $10 if you are training with me.

Ongoing coaching includes all programming, updates and weekly check ins.

Acknowledged.

Occupation and how much physical activity this involves. *

What are your goals? *

Why do you want to achieve these goals and when do you want to achieve them by? *

Please describe your current weekly activity levels - E.g - 5000 Steps per day, 1x30 minute cardio, 3x weight training sessions. *

If you're currently training, please describe your current split/exercises etc. *

How many days can you realistically train each week? *

What time of day do you generally train? *

Do you have any specific areas that you'd like to focus on with your training? E.g build bigger biceps, build a stronger core etc. *

Please list any exercises that you love/hate. *

Do you have any injuries that need to be taken into consideration? *

Nutrition Coaching is an optional extra.

Basic nutrition targets will be given but if you'd like in depth nutrition coaching, please select an option below.

$10p/w - Self tracking - Calorie & Macro targets with weekly food audit of tracking logs.

$20 p/w - Full meal plan with foods & amounts along with weekly check ins/updates.

No nutrition coaching (skip all of the following nutrition-related queastions).

Nutrition - Please describe a typical day of eating for you. Remember to include all snacks and drinks.

Nutrition - Please list any food allergies, preferences and dislikes.

Nutrition - Have you ever been diagnosed with an eating disorder? If so, please detail.

Nutrition - Have you had recent bloodwork cunducted? If so, were any markers out of range?

Nutriton - Have you been diagnosed with kindey disease or reduced renal function?

Yes

Clear selection

Nutrition - Have you been diagnosed with hypertension or high cholesterol?

Yes

Clear selection

Nutrition - Have you ever been diagnosed with diabetes type 1 or 2 or pre diabetes?

Yes

Clear selection

Nutrition - Have you ever been dignosed with reduced bone mass, stress fractures etc?

Option 1

Clear selection

Nutrition - Do you suffer from, or have you been diagnosed with heart disease, myocardial infarction (heart attack), atrial fibrillation, bypass graft, or valve replacement?

Yes

Clear selection

Please list any other information that may be relevant such as health conditions, medication etc. *

Please list any supplements that you're currently taking along with the daily amount. *

Please send progress photos - Front side and back to Reece@RPGCoaching.com.au. I may use progress photos for future marketing but I'm happy to blur your face if you'd prefer.

If you really do not want photos posted, please let me know directly but keep in mind, progress photos are a big form of marketing to future clients who may want to achieve similar results. *

Agreed.

Agreed but please blur face.

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