Pre Consultation
By completing this form I will be able to gain a better understanding of your needs and goals. On completion a video/phone consultation can be booked in to get one step closer to your achieving your goals!
Email *
Name *
Date of Completion *
MM
/
DD
/
YYYY
How long have you been wanting to make changes to your lifestyle?
 *
How important is it for you to make these changes?
 *
Not very important
Very important
Have you ever set your own goals before and if so, what were they?
 *
Did you achieve any of these goals? *
When working towards your goals what were the main barriers you had to try to overcome?
 *
Required
How would you rate your current activity levels? *
How would you rate/describe your current nutrition?
 *
Poor
Excellent
Explain in more detail why you have chosen that number?
 *
When it comes to the gym, exercise and movement, what do you enjoy doing?
 *
Required
What do you find you dislike and don’t enjoy about the gym and training in general?
 *
When it comes to trying to achieve your goal, what do you fee like you need support with most?
 *
Required
In your words, What are the main outcomes you would like to achieve from working with me?
 *
How long would you say it would expect to achieve that?
 *
Do you want to add anything else you feel would benefit my understanding of you and what you want to achieve?
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report

Google Forms