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New Online Coaching Client Intake Form
If you're looking to work 1:1 with a coach towards your own goals, within the comfort of your own training experience and being able to build your confidence and knowledge around training, apply now.
Gym based and home based clients welcome.
Receive completely personalised programming for your goals, needs and confidence level.
Accountability and support the whole way.
Let's start with the basics.
What is your first and last name?
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Gender:
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Gender:
A
Male
B
Female
C
Other:
When is your birthday?
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What is your phone number?
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What is your email address?
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Let's dive deeper.
What are your goals?
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What are your goals?
Lose weight / body fat
Gain weight
Maintain weight
Add muscle
Improve overall fitness
Look better
Feel better
Have more energy
Get stronger
List your top 3 concerns you have about your health, eating habits, fitness, and/or body.
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Why did you choose those 3?
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What are you willing to work on to reach your goals?
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What aren't you willing to do to reach your goals?
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What are your top 3 goals you wish to achieve?
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Why are these 3 goals important to you?
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Please list all of the obstacles you feel like you're facing when it comes to achieving your goals?
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What does your current training look like?
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Gym or home training?
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How experienced are you training wise?
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0 being no experince, just started or 10 being extremely experienced, training for years
How experienced are you training wise?
0
1
2
3
4
5
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8
9
10
Have you been diagnosed (currently or in the past) with any significant medical condition(s) and/or injuries?
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If you are already training, is there any exercises you do not like?
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How many days do you wish to train per week?
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How often do you wish to have a check in?
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How often do you wish to have a check in?
Have you worked with a coach before?
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How long have you been thinking about working with a coach? and or what has stopped you?
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What do you expect to receive from an Online Coach?
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How did you find me?
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Any questions you might have?
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Disclaimer
For all new Online Coaching clients a $10 set up fee will be charged at the time of setting up your subscription. Online Coaching cost is $40 per week and any cancellations made require a 1 weeks notice.
By clicking the yes button below, you're agreeing to the disclaimer and that all of the information you've provided above is accurate and up to date to the best of your knowledge.
Untitled multiple choice field
A
Yes
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B
No
Agree and Submit
