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JDPT Coaching/Training Application
Help me help you to the best of my abilities by filling this form out in as much detail as possible!
Email *
Email Address *
Name *
Phone number *
Age *
Current Height and Weight *
What is your number one fitness goal and why? What motivates you to achieve this goal? Why? What is your biggest obstacle(if any) in achieving this goal?
How long have you had this goal? Do you have a timeline to achieve this goal?
Do you have any injuries, medical conditions or surgeries that could effect your training? What are they?
How long have you been training? Tell me in detail about your training experience. Ex: What methods worked well in the past? What hasn't worked well?
Are there any specific exercises you would like to improve on? Any exercises you have wanted to do but haven't done?
How many days and hours per day are you willing to dedicate to training? What is your ideal workout schedule?
If applicable tell me in detail what your current program looks like. If you have a document tracking your program, feel free to email me that.
On a scale of 1-10, how would you rate your nutrition? (10 being perfect)
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On a scale of 1-10, how would you rate your sleep? (10 being the best)
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Check the ones you are interested in (You can choose more than one):
If you fast forward to a year from today and looked back at your past year of training, what would you need to see to be satisfied with your progress? 
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