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Bastion Coaching

Please take 10-20 minutes to fill out this form. The more thorough you are, the better. This form is best completed on a computer. Afterwards, set up a call with me for your initial consultation!

What is your primary fitness goal?

What is your primary fitness goal?
A
B
C
D

Please explain your goal(s) in detail.

Do you have a timeline? A specific weight or number in mind? Need help clearly defining your goals?

How would you describe your experience with exercise?

How would you describe your experience with exercise?
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B
C
D
E

Have you worked with a trainer or coach before?

Have you worked with a trainer or coach before?
A
B
C

What do you think you will need the most help with?

Accountability, goal-setting, nutritional habits, moving past a plateau, lab work, digestion issues, etc?

What does your current exercise routine look like?

Weekly split, step count, specific exercises, etc.

What does your current nutrition look like?

Current macros/calories, home cooked meals, take-out, food preferences, diet rules, etc.

How seriously are you taking this?

How seriously are you taking this?
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B
C
D

What is your height, weight, and age?

What is your gender?

What is your gender?
A
B
C

Any additional notes?

How did you hear about me?

How did you hear about me?
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B
C
D

What is your name?

What is your email?

Thank you for your time! Please submit and book a call with me.