Page 1 of 2
Fitness Coaching - Expression of Interest
Hi and welcome!
Thanks for expressing your interest in fitness coaching. This form helps me get to know you, your goals, and what kind of support you’re looking for. I will be in touch shortly with the next steps.
Full Name
*
Email
*
Phone Number
*
Date of Birth
*
What is your main fitness goal?
*
What is your main fitness goal?
Improve general health and fitness
Fat loss/ body composition
Improve my running
Improve strength
Improve mobility
Enter an event/ competition
Other (please describe below)
Your current fitness level
*
Your current fitness level
A
Beginner (minimal experience, feel unsure or lack confidence)
B
Intermediate (some experience, want to refine technique, build on current baseline fitness, or improve consistency)
C
Advanced (lots of experience/ am an athlete looking to optimise performance, push limits, and compete in events)
Would you prefer in person sessions or an online program?
*
Would you prefer in person sessions or an online program?
In Person (Unley or city)
Online program (to be completed independently)
How often would you like to train per week?
How often would you like to train per week?
1x per week
2x per week
3x per week
4x per week
>5x per week
Do you have any injuries?
*
Do you have any injuries?
A
No
B
Yes (please describe in comment section below)
Are you interested in adding nutrition to your fitness programming?
*
Are you interested in adding nutrition to your fitness programming?
Yes, please send me more information
No thank you, not right now
Any other comments and/or questions?
Submit