Coaching Application Form
Sign in to Google to save your progress. Learn more
Email *
Name *
Age *
Height (ft) *
Current Weight (KG) *
Lowest bodyweight in the last 12 Months *
Date of birth *
Male *
What is your occupation? *
How did you find out about me/my service? *
Where are you from/where do you live? *
How many times a week can you train? *
Do you have a gym membership *
Do you (or have you in the past) lift weights/resistance trained *
What are your work hours and what time of day do you prefer to train? *
Daily Activity (Steps/manual labour etc) *
What's your current training regime? *
Do you currently do any cardio? (How much and how long) *
Do you have any injuries at this moment in time? If yes, please explain in detail. *
Do you have any past injuries that I should consider? If yes, please explain in detail. *
Tick the box that best represents your fitness journey in the last 6 months *
Have you ever used a coach before? *
Explain with as much detail as possible your current fitness goals. *
Whats your desired end goal from this process? *
Do you have any lifestyle limitations that may prevent you from achieving your goals? *
Do you have low blood pressure? *
Do you have high blood pressure? *
Do you have a metabolic disease (Including Diabetes) *
Do you have any underlying health conditions I should know about? If yes, please explain in as much detail as you feel comfortable with. *
Is your doctor currently prescribing you any medication? *
Do you have trouble falling asleep? *
Do you suffer from bloating and/or indigestion? *
Are you stressed/what is your main cause of stress? *
Training experience *
Do you/have you used MyFitnessPal or Nutracheck? *
If tracked, what is your current daily macros/calories intake? *
Describe your diet/daily food intake in as much detail as possible. *
Do you have any allergies/intolerances? *
What are your perceived weaknesses in your physique? *
Mobile Number *
Finally, what's your dream outcome from working with me? *
Click 'Submit' and book your free consultation.
Clear form
Never submit passwords through Google Forms.
This form was created inside of The Consistency Club. Report Abuse