Client Questionnaire for Online Coaching
Online coaching allows you to workout at anytime and anywhere but with the accountability of a trainer to make sure you stay on track.

Your programme will be designed for you.

Each workout is YOUR workout.

If you want to REtrain your body and mind, REgain your body confidence and REshape your lifestyle then please complete this form. Successful applicants will be contacted.
Please provide your email address (this is strictly for the purpose of ClaireFit should you join) *
Your answer
Name *
Your answer
1. What is your goal? *
2. Age *
Your answer
3. What is your gender? *
4. Are you pregnant? *
5. Have you had a baby in the last 12 months? *
6. Do you have Diastasis Recti (separated abdominal muscles) from having a baby? *
7. Why did you choose to apply for my coaching programme? *
Your answer
8. Are you in good health with no illnesses or injuries that will prevent you from completing the 12 week plan? *
9. On a scale of 1-10 how committed and motivated are you to achieving your fitness goals? (10 being 100% committed) *
Unlikely
100% committed
10. Will you be training at home? *
11. What is your current activity level and exercise programme? *
Your answer
12. Is your occupation active or sedentary? *
Your answer
13. I will be in touch to arrange a consultation call. Please state below which days and times work best for you to have a chat. *
Your answer
14. What is your contact number? *
Your answer
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