Pre-qualify
This form is your silent interview. Fill it out completely and thoroughly to be contacted.
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Email *
Name (may be real or alias) *
Age *
DOB: *
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State AND Postcode *
Are you free from any injuries and medical conditions that prevent you from training? *
Required
What is your current weight? (Write Lb or Kg next to weight) *
What is your goal weight where you will feel confident about yourself? *
What is your height *
Are you... *
What are your fitness goals? Be SPECIFIC and DETAILED! YOU MUST Explain WHY this is your goal. *
Have you had personal training in the past? *
Required
Are you interested in training 1:1 or Online Coaching? *
Required
How much cardio you do each day? *
Do you do resistance training (weight training)? *
What specific area(s) on your body that you would like to improve and WHY? YOU MUST EXPLAIN WHY! *
Do you have any injuries? *
What are your Daily stress levels? *
Do you take supplements? If so, what? *
How many meals do you eat a day? *
How often do you snack a day? *
What are your objectives? *
How much water do you consume in a day? *
Have you dieted before and if so what have you done? *
How did you hear about Sadistic Coach? Check all that apply *
Required
List fitness equipment at home. *
On a scale of 1 to 5, how ready are you to invest your time, energy and financial resources to your fitness goals? (1 being "not ready at all" to 5 being "very ready") *
Why did you rate that number? Explain. *
What are your kinks/fetishes that you feel apply? *
Is there anything else you feel I should know? *
I acknowledge that I have read and understood the privacy notice which describes how my personal data is collected, stored and used and the refund and return policy. I understand that I have certain rights with respect to my data and I understand that my data will only be used to supply me with the services I have requested. Agree? *
Required
DISCLAIMER: I certify and acknowledge: That I freely and knowingly assume the risk in such programs, and I hereby waive any right, claim, or cause of action against Sadistic Coach and release her and her staff or volunteers from any liability for any injury, illness, cost, damage expense or claim, which I or anyone on my behalf might incur as a direct or indirect result of my participation in this cardiovascular, resistance-training program and diet.That I fully understand that the advice given is hypothetical and not given from a medical or nutritional professional.That I have read this Liability Waiver form, understand and agree with each of the foregoing points. A printed name will be taken as signature and agreement of this liability waiver form and also confirms that the information I have provided to Sadistic Coach is correct and true. Sadistic Coach has my permission to use my photos and quotes from my comments, and use these quotations and photos in any promotions used to market services, unless I send an email to opt out. (PRINT NAME AND DATE) *
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