JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
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.
Sign in to Google
to save your progress.
Learn more
* Indicates required question
First Name
*
Your answer
Last Name
*
Your answer
Email Address
*
Your answer
Skype ID (if you have one)
Your answer
City and State
*
Your answer
Country
*
Your answer
Gender
*
Male
Female
Other
Age
*
Your answer
Height (feet and inches)
*
Your answer
Weight (pounds)
*
Your answer
Bodyfat percentage (if known, not required)
Your answer
How did you find out about the HOF Coaching Program and what interested you in it?
*
Your answer
Can you describe your short-term (within the next 3 months) and long-term goals (within the next year)?
*
Your answer
Please list any health problems, injuries (past or present), or any other issues you’ve experienced?
*
Your answer
Do you have any specific nutritional restrictions or food allergies?
*
Your answer
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?
Your answer
Are you currently training? If so, please tell us specifically what you are currently doing.
*
Your answer
What types of physical activity do you ENJOY doing and what types do you dislike doing?
*
Your answer
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.
Your answer
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
1
2
3
4
5
6
7
8
9
10
A Greek God
Are you willing to commit %100 of your FULL effort to this coaching program?
*
YES
No....
What’s your current favorite game to play and favorite of all time?
Your answer
Anything else you'd like to share?
Your answer
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Heroes Of Fitness.
Report Abuse
Forms
