Page 1 of 1
New Client Consultation Form
Firstly, I would like to congratulate you for taking the first step towards the raw reality of growth. It will not be easy and I remind you to ALWAYS reach out if you feel you want/need to.
I will be here to guide you in the right direction (your goal) subtly WITHOUT holding your hand and when I give you the directions it is your choice to steer (take action).
Any and All questions are welcome and incredibly worth it in the journey of progressing, so here we go!
Below is some information about you, your history, preferences and more.
Full Name:
*
DOB:
*
Instagram @:
*
Phone Number: you have the option to contact my PHONE number or via our training app.
Email Address:
*
Height:
*
Food likes & dislikes
*
Briefly explain your physical history, lifestyle requirements/commitments, physical injuries past & present, medical diagnosis' that may impact your training and/or nutrition:
*
What knowledge do you hope to gain in your time with coaching?
*
What is your physical goal? & timeframe expectations? Do you have any special circumstances/events upcoming?
*
Do you have nutrition goals, or mental goals? Do you have any diet requirements or known deficiencies?
*
How committed are you in reaching your goal/s?
*
How committed are you in reaching your goal/s?
0
1
2
3
4
5
6
7
8
9
10
How much time are you willing/wanting to dedicate to training? How many sessions per week, and time per session.
*
Nutrition History: do you track? Can you track?
*
How did you find out about my coaching services?
Do you have any recent progress pics? Please upload.
Click to choose a file or drag here
Size limit: 10 MB
What is your current weight? If known.
*
Age:
*
Thank you for your time & I will be in contact with you very soon to discuss your opportunities and future working together!
Submit
