HOF Personal Coaching Client Questionnaire Application
For 1-on-1 online personal coaching clients with Heroes of Fitness, LLC. Please fill out all of the questions below as thoroughly as possible.
First Name *
Last Name *
Email Address *
Skype ID (if you have one)
City and State *
Country *
Gender *
Age *
Height (feet and inches) *
Weight (pounds) *
Bodyfat percentage (if known, not required)
How did you find out about the HOF Coaching Program and what interested you in it? *
Can you describe your short-term (within the next 3 months) and long-term goals (within the next year)? *
Please list any health problems, injuries (past or present), or any other issues you’ve experienced? *
Do you have any specific nutritional restrictions or food allergies? *
Describe your current eating habits/diet, i.e. what is your typical breakfast, lunch, dinner, snacks and beverages throughout the week? *
Do you eat out a lot? Do you make food at home? What restaurants or fast food are your go-tos?
Are you currently training? If so, please tell us specifically what you are currently doing. *
What types of physical activity do you ENJOY doing and what types do you dislike doing? *
Do you have access to a gym or equipment at home? If yes, what equipment do you have access to? *
ie. dumbbell/kettlebell quantity & sizes, jump rope, yoga matt, pullup bar, etc.
How would you rate your current level of fitness? *
[on a scale of 1 to 10, as 1 being a step away from the hospital and 10 being a Greek God]
A step away from the hospital
A Greek God
Are you willing to commit %100 of your FULL effort to this coaching program? *
What’s your current favorite game to play and favorite of all time?
Anything else you'd like to share?
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