Page 1 of 1

Online Coaching Application

Name

Email

Age

Instagram handle

What is your primary goal for training? (i.e. weight loss, muscle gain, improved endurance, injury rehabilitation, overall health)

Do you have any current or past injuries? If so, please describe.

What do you feel is your biggest challenge when it comes to your training and/or injuries? (Check all that apply)

What do you feel is your biggest challenge when it comes to your training and/or injuries? (Check all that apply)

Consistency: I struggle to stay consistent with my workouts or fitness routine

Injury recovery: I'm dealing with or recovering from an injury that impacts my training

Motivation: I find it difficult to stay motivated to train regularly

Time management: I struggle to find enough time to fit in my workouts or rehab exercises

Lack of guidance: I'm unsure of what exercises or training program is best for my needs/goals

Logistics: Limited access to equipment (i.e. training from home)

Other

Are you willing to commit to online training for a minimum of 12 weeks?

When would you like to get started?