Coaching Consultation Form
A few questions for me to find out about you and your goals. Be as specific as possible!
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Email *
Full Name *
Which coaching option are you interested in? *
What health goals would you like to achieve in the next 3 months? *
Name 3 things you could do in order to improve your health? *
What are your main reasons for starting a fitness programme? (Select as many as you like) *
Have you ever done any structure exercise? If so, what did you do? *
Tell me about any / all exercise you've taken part in over the last 3 months and what it consisted of? *
How many days a week do you currently exercise? *
How many steps per day do you do on average? *
What do you want your body to look like (if applicable)? *
What are the main barriers preventing you from exercising? *
Do you drink alcohol? If so, how many drinks per week (on average)? Is it weekend binge drinking, or steadily through the week? *
Do you smoke? If so, how many cigarettes per day? *
What do you do for a living? Is it a desk job, 9-5, shift work? Be specific if possible *
What are your average hours of sleep per night? *
What's been stopping you from reaching your goals so far? *
How is it that I can help you best? *
Do you have any particular date / event that you want to achieve your goals by? *
Name 5 goals (both short and long term) that you would like to achieve. These can be training goals, lifestyle goals, nutrition goals - anything really! Just try and make them as specific as you can *
Anything else you think I should know?
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