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Let's Build Your Plan

This form helps me understand your goals, training history, and lifestyle so I can build a personalized program. Takes 5–10 minutes. All info is private and judgment-free

SECTION 1: Personal Info

1. Full Name

2. Email Address

3. Age

4. Height

5. Weight (specify if in lbs or kgs)

9. Location (City + Country)

SECTION 2: Goal Clarity

10. What are your main fitness goals?

(Select all that apply)

10. What are your main fitness goals?(Select all that apply)

11. What does progress mean to you right now?

Feel free to describe physical, mental, or emotional goals.

12. Is your main goal more focused on:

12. Is your main goal more focused on:
A
B
C
D
E
F

13. How do you want to feel in your body 12 weeks from now?

14. Is there a specific body look or shape you’re aiming for?

(e.g. toned, muscular, shredded, V-taper, athletic, curvy, bulky, etc.)

SECTION 3: Training Background

15. What’s your current training experience?

15. What’s your current training experience?
A
B
C
D

16. What kinds of workouts have you done before?

(e.g. gym, home workouts, group fitness, sports, etc.)

17. How many days per week can you realistically train?

17. How many days per week can you realistically train?

18. How long should each session ideally be?

18. How long should each session ideally be?
A
B
C
D

19. What kind of equipment do you have access to?

(Select all that apply)

19. What kind of equipment do you have access to?(Select all that apply)

20. Do you have a preferred rep range?

20. Do you have a preferred rep range?

21. Are there any body parts you’d like to prioritize?

(e.g. glutes, chest, back, arms, legs, etc.)

22. What kind of workouts do you enjoy most?(e.g. split days, circuits, slow and controlled, short intense sessions, etc.)

SECTION 4: Health + Injuries

23. Do you have any injuries, medical conditions, or prescriptions I should know about?

(e.g. back pain, asthma, hormone therapy, mental health diagnosis, etc.)

24. Do you experience joint pain or chronic discomfort during movement?

24. Do you experience joint pain or chronic discomfort during movement?
A
B
C
D

SECTION 5: Nutrition + Lifestyle

25. Any food allergies, sensitivities, or medical conditions?

(e.g. lactose, gluten, IBS, diabetes, etc.)

26. Do you follow any specific way of eating?

(e.g. vegan, pescatarian, low-carb, etc.)

27. How many meals do you usually eat per day?

27. How many meals do you usually eat per day?
A
B
C
D
E
F

28. What does a typical day of eating look like for you?

No pressure : just a rough idea.

29. Do you usually…

29. Do you usually…

30. Are there any foods you love and want to keep in your plan?

(E.g. chocolate, peanut butter, rice, etc.)

31. Would you be open to tracking your food or following flexible guidelines?

31. Would you be open to tracking your food or following flexible guidelines?
A
B
C
D

SECTION 6: Life + Preferences

32. How many hours of sleep do you get on average per night?

32. How many hours of sleep do you get on average per night?

33. What other responsibilities may affect your training?

(e.g. work, school, family, chronic fatigue, etc.)

34. What type of training are you most interested in?

34. What type of training are you most interested in?
A
B
C
D
E
F

35. What motivates you to stay consistent with fitness?

36. What’s been the hardest part about reaching your goals so far?

SECTION 7: Program Preferences

37. How often would you like to check in with me?

37. How often would you like to check in with me?
A
B
C
D

39. Preferred method of check-ins:

39. Preferred method of check-ins:

SECTION 8: Final Notes + Consent

40. Is there anything else I should know about your goals, lifestyle, or health that would help me build the best plan for you?This could be past experiences, mental health context, dysphoria, chronic fatigue, etc. All optional and private.

41. Consent Agreement

By checking below, you agree to the following:

41. Consent AgreementBy checking below, you agree to the following: