client application

Client Application Form

Thanks for considering me to be your Coach! Please take the time to fill out this client application form so I can find out a little more about you - I'll be in touch when I have your information.

Thanks again!

Client Application Form

First Name:

Last Name:

Date Of Birth:

Email:

Best Contact Number:

Briefly describe to me how you would like to look and feel within the next 6 months?

Why is this important to you?

Why have you not made it there yet? What is holding you back?

Have you ever had a coach before? If you have, please tell me a little bit about how it went for you?

Please select the option that best describes your experience with lifting weights.

Tell me more about your gym/exercise experience below if you care to.

On a scale on 1 - 10. 1 being "I would die if you made me do one burpee" to "I could join the Olympics if I felt like it!" - how would you rate your current fitness levels

How do you feel at the moment about your current physique and fitness levels?

Do you have any injuries/mobility issues that could be of concern? If so, please explain further below.

Are you on any medications that you feel may be relevant for me to know?

How many sessions do you think you can commit to training each week? (Be realistic here!)

Do you have any nutrition restrictions? (Vegan, Veggie, allergies etc)

Are you applying for one to one coaching or online coaching?

If you selected online coaching, will you be training in a gym or at home? (Leave blank if selected one to one)

If you selected at home, tell me what exercise equipment you have available so I can personalize a program for you. (Leave blank if selected one to one)

Lastly, what will make you a good client to work with?

Results! Home

Client Application Form

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