Succeed Personal Training Coaching Application
This questionnaire will tell us more about you, it will help us understand your reasons for wanting to begin coaching and it will allow us to assess your current health & your start point. This will serve as you application to join the Succeed Personal Training Coaching Programme.
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Email *
Confirm Email *
Title *
Full Name *
Phone Number *
Weight (in either lbs, kg or Stone) *
Height (in metres or ft & inches) *
Age *
What is your primary goal? *
Why do you want to achieve your goals? *
How committed to your goals are you? *
Do you sleep well during the night? *
Do you wake up feeling rested & refreshed *
After you wake up, how long is it until you eat your first meal? *
How many meals & snacks do you eat each day? *
Once you have eaten a meal, how do you feel? *
Do you find yourself craving sugar? If yes, when?(Tick all that apply) *
Required
How many glasses of water do you consume daily? *
How often do you exercise during an average week? *
How many steps do you complete in a day? *
How happy are you with your current health? (on a scale of 1-10) *
How happy are you with your current energy levels? (on a scale of 1-10) *
How happy are you with your current well-being? (on a scale of 1-10) *
Do you have any other health conditions or well-being concerns? *
If you answered YES to the above question, please provide additional details below so your coach  is aware of them. *
Are you ready to financially invest in yourself in order to improve your health, well-being & lifestyle? *
Before you submit your application for the Succeed Personal Training Coaching Program, is there any other information you would like to include? *
A copy of your responses will be emailed to the address you provided.
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