Physiqonomics Coaching Application.
Please answer all questions in as much detail as possible and then hit that pretty blue "Submit" button. I'll get back to you within 2-3 working days.

** These questions are for my purposes only and will never be shared.**
About you
Full Name *
Your answer
Email *
Please double check this is correct because I'll be reaching out via email.
Your answer
Where do you live? (city/country) *
Your answer
Gender *
Age *
Your answer
What's your occupation? *
Just trying to get a gauge of how sedentary or active you are; if you control your schedule; if it’s a high-stress job, etc. as these things will change how I program for you.
Your answer
Your current stats
Weight (Pounds) *
Your answer
Height (feet and inches) *
Your answer
What's your current body fat% (an estimate is cool)
Your answer
What type of coaching are you looking for? *
What's your short-term goal? *
What would you like to achieve within the next 3 months?
Your answer
What's your long-term goal? *
If everything was perfect: describe what kind of shape you'll be in 2-3 years from now
Your answer
What's your biggest struggle when it comes to achieving this goal? (Said another way: what's preventing you from already having achieved your goal?) *
Your answer
What's motivated you to make this change now? *
Your answer
Why do you think I, specifically, can help you achieve your goal? *
Your answer
Past experience
Have you worked with an online coach before? *
IF YOU ANSWERED "NO" TO THE ABOVE: Have you used a program in the past to help you achieve your goal?
If you've used a program – what program did you use?
Your answer
Current Training
Are you currently training consistently? *
What does your training currently consist of? *
Weight lifting, crossfit, running, etc.
Your answer
Nutrition/diet stuff
Do you have any nutritional preferences? *
Basically do you only eat paleo, low carb, keto, the hearts of your enemy. I need to know this.
Your answer
Do you currently track your calories and macros? *
If you answered "No" to the above, are you willing to track your calories and macros?
I only work with people who will track their food intake. If you aren't willing to do this then we're not a good fit and I suggest working with someone else.
Health/injury history
Any injuries or health concerns I should know about? *
Your answer
Who's your favourite superhero (it's Deadpool, isn't it?)
Your answer
What's the best book you've read in the past year? *
Your answer
What's the best movie (or show) you've watched in the past year?
Your answer
Are you 100% committed and serious about achieving your fitness goals or are you simply trying to throw money at your problems? *
(Coaching will only work if you do.)
If you were referred to coaching by an existing client, what's their name?
Your answer
Lastly, where did you hear about Physiqonomics? *
Your answer
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy