Online Coaching Application
This form helps to gather all the information needed to design your training and nutrition plan so please answer in as much detail and as honestly as possible. I don't just put plans together and leave you to it, as your coach I'm here to cheer you on, give you advice, motivation and inspiration. The more contact we have, the more you come to me for advice and check in regularly and consistently the more you will get from us working together.
Full name *
Email address *
Mobile number *
Date of birth *
What is your current height and weight? *
Do you have any medical illnesses that you are being treated for? (Short term or long term medication) *
Do you have any problems with your health that you are aware of but have not sought medical advice for? *
How do you feel about your current body image and what do you want to change most about yourself? *
What seems to stop you when trying to achieve the body you want? *
What is your goal from this online coaching? *
What would be the dream outcome from this coaching? (How do you want to look and feel?) *
What are your expectations of me as your coach? *
What does your current nutrition look like? Please provide an example day of food with calories if known *
What is a typical daily/weekly schedule like? (Work / family commitments etc) *
How many times do you prefer to eat a day? *
What foods do you enjoy eating on a regular basis? *
Do you have any food dislikes or allergies? *
What training plan and nutrition plan are you currently following? (If nothing, write none) *
How many days a week would you like to train and how long can you train for? *
Do you have any specific body parts you would like to work on? *
Do you do any other physical activity outside of the gym? Please also list any sports / activities done as a child. *
What gym do you train at? (If multiple, explain) *
Do you have any training beliefs? (e.g. a certain style of training is more beneficial than another etc - you may have picked these up from previous trainers or people in the gym) *
Do you have any injuries or special considerations? Please include your lifetime history of these. *
Rate your sleep from 1 (poor) to 10 (great) *
Rate your digestion from 1 (poor) to 10 (great) *
Rate your stress from 1 (poor) to 10 (great) *
Please send 4 clear photos of your front, back and both sides to 07734022670 on WhatsApp (men in shorts or boxers and women in underwear or a sports bra and shorts or leggings in good lighting, against a plain background and your waistband below your belly button). Do not breathe in etc, you want these to be a true representation of your starting point so we can see clear progress from here! *
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