Muscle 4 Mind Coaching Application
Fill out this form as accurately as possible, it should only take 10-15 minutes. Not all questions are compulsory but the more responses you provide the more information I will have to assess whether we will be a good fit to work together and if so, the more effectively I can personalise your coaching.
Full Name *
Your answer
Age *
Your answer
Gender *
Email Address *
Your answer
Phone Number or Skype
Your answer
Profession
What you do for work, study or other venture?
Your answer
What is your number 1 hobby or past time?
Your answer
Do you have a current favourite book, movie or podcast?
Your answer
Do you currently have any physical injuries or illness that may affect exercise in any way? *
Pas or present, briefly list or describe.
Your answer
Are you currently struggling with any mental health issues or have so in the past? *
If yes, can you provide me with some more information?
Only what you feel comfortable with.
Your answer
What is your goal? *
What would you like to achieve in regards to your health, fitness or lifestyle?
Your answer
What's currently stopping you? *
Your answer
Have you had a coach before - online or in person?
What is your training history?
What exercise have you done in the past?
Your answer
How many days per week can you exercise? *
How long can you exercise for on those days? *
What equipment do you have access to? *
Include in the 'Other' section anything else you have not listed.
Required
Why did you choose Muscle 4 Mind specifically? *
What do you think I can help you achieve?
Your answer
On a scale of 1 -10 how committed are you to achieving your health and fitness goals? *
1 being you will make absolutely no changes, 10 being 100% fully committed, willing to do whatever it takes.
How much are you willing to invest into your health per month? *
In an ideal world, how will you feel 3 years from now? *
Your answer
Is there anybody else who may be involved in your decision to hire a coach or stick to a program? *
Your answer
Which devices do you have access to? *
Required
How did you find out about Muscle 4 Mind Coaching?
Do you have any other comments or questions for me?
Your answer
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