Page 1 of 2

Coaching Application

Thank you for your interest in working with me.

This short application will help me understand your goals, current situation, and whether my coaching is the right fit for you.

Please answer honestly and in as much detail as possible. It should take approximately 5–8 minutes to complete.

01 - BASIC INFORMATION

Full name

*

Email address

*

Age

*

Gender

*

A

Male

B

Female

C

Prefer not to say

Height (cm)

*

Current weight (kg)

*

02 - GOALS

What is your primary goal?

*

A

Lose body fat

B

Build muscle

C

Build muscle & lose body fat

D

Improve strength

E

Improve overall fitness

F

Other

What would you like to achieve in the next 3-6 months?

*

Why is achieving this goal important to you?

*

What do you feel is currently holding you back from achieving your goal?

*

03 - TRAINING

What best describes your current training experience?

*

A

Beginner — less than 6 months

B

Some experience — 6–12 months

C

Intermediate — 1–3 years

D

Experienced — 3+ years

E

I’m not currently training

How many days per week can you realistically train?

*

Where will you primarily be training?

*

A

Gym

B

Home

C

Both

D

Other

What type of training are you currently doing, if any?

Are there any exercises you particularly enjoy or dislike?

04 - NUTRITION & LIFESTYLE

How would you describe your current nutrition?

*

A

Very consistent

B

Mostly consistent

C

Inconsistent

D

I don’t currently pay much attention to my nutrition

How would you describe your current eating habits?

*

A

I mostly eat home-cooked meals

B

A mix of home-cooked meals and eating out

C

I frequently eat out or order food

D

My eating habits vary a lot day to day

How many meals do you typically eat per day?

*

A

1–2 meals

B

3 meals

C

4 meals

D

5+ meals

E

It varies a lot

Do you have any dietary restrictions, food allergies, intolerances, or foods you avoid?

*

How many hours of sleep do you typically get per night?

*

A

Less than 5 hours

B

5-6 hours

C

6-7 hours

D

7-8 hours

E

8+ hours

How would you rate your current stress levels?

*

A

Very low

B

Low

C

Moderate

D

High

E

Very high

How active are you outside of your workouts?

*

A

Mostly sedentary

B

Lightly active

C

Moderately active

D

Very active

E

Highly active / physical job

How often do you consume alcohol?

*

Approximately how many steps do you average per day?

Please briefly describe a typical day of eating for you, including meals, snacks, and drinks.

*

05 - HEALTH & INJURIES

Do you currently have any injuries, pain, or physical limitations that may affect your training?

*

A

No

B

Yes

Do you have any medical conditions or health concerns that I should be aware of before creating your training or nutrition plan?

*

A

No

B

Yes

Are you currently taking any medications that may affect your training, recovery, or nutrition?

*

A

No

B

Yes

06 - COACHING & COMMITMENT

How committed are you to achieving your fitness goals right now?

*

A

Fully committed — I’m ready to make this a priority

B

Very committed — I’m ready to put in the work

C

Committed, but I may need help staying consistent

D

I’m interested, but not fully ready yet

What level of support and accountability are you looking for from a coach?

*

A

A clear training and nutrition plan

B

Regular check-ins and accountability

C

Guidance, feedback, and adjustments along the way

D

Full coaching support with all of the above

Are you willing to consistently follow a structured training and nutrition plan to achieve your goals?

*

A

Yes, absolutely

B

Yes, but I’ll need help with consistency

C

I’m willing to try, but I’m unsure

D

Not at the moment

Why have you decided to make this change at this point in your life?

*

07 - FINAL DETAILS

Which coaching option are you interested in?

*

A

1:1 In-Person Coaching

B

Online Coaching

C

I’m not sure yet

Are you ready to invest financially in professional coaching if we both feel we’re a good fit?

*

A

Yes

B

I would like to know more about the pricing first

C

Not at the moment

Is there anything else you’d like me to know before we speak?

How did you hear about me?

*

A

Instagram

B

TikTok

C

Friend

D

Gym

E

Google

F

Other