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.
Prefer not to say
Phone Number or Skype
What you do for work, study or other venture?
What is your number 1 hobby or past time?
Do you have a current favourite book, movie or podcast?
Do you currently have any physical injuries or illness that may affect exercise in any way?
Pas or present, briefly list or describe.
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.
What is your goal?
What would you like to achieve in regards to your health, fitness or lifestyle?
What's currently stopping you?
Have you had a coach before - online or in person?
What is your training history?
What exercise have you done in the past?
How many days per week can you exercise?
As many as I need to!
How long can you exercise for on those days?
As long as I need to!
What equipment do you have access to?
Include in the 'Other' section anything else you have not listed.
Full Gym Access
My body weight (hopefully you can check this!)
Why did you choose Muscle 4 Mind specifically?
What do you think I can help you achieve?
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?
$50 - $100
$100 - $200
$200 - $400
As much as I need to if it will get me the results I need.
In an ideal world, how will you feel 3 years from now?
Is there anybody else who may be involved in your decision to hire a coach or stick to a program?
Which devices do you have access to?
Android Phone/ Tablet
How did you find out about Muscle 4 Mind Coaching?
Friend or Family Member
Do you have any other comments or questions for me?
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