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Consultation Form KKB FIT/ Event Rider Fitness Programme
Please take the time to fill in this form as best as you can so I can see if you’d be a good fit for the programme. If not, I can put you in the right direction to move forward. I look forward to meeting you!
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Name
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Your answer
Email Address
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Your answer
Telephone Number
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Your answer
DOB
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MM
/
DD
/
YYYY
Gender
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Female
Male
If we were to work together what would your dream 6-month riding goal be?
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Your answer
What are the top 3 obstacles you struggle with in your riding that could stop you from achieving that goal?
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Your answer
If we were to work together what would your dream 6-month personal goal be?
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Your answer
What do you feel are the 3 biggest obstacles stopping you from achieving that goal?
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Your answer
Are you willing to financially invest to reach your health & fitness goals?
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Yes
No
What is your current exercise regime? Please include all activities, step count if known, sports, riding etc
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Your answer
How physically active is your day job? 1 for completely sedentary, 5 extremely physically active
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Sedentary
1
2
3
4
5
Very physically active
What is your job role?
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Your answer
Do you need help with your diet & nutrition?
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Yes
No
Have you ever suffered from disorded eating or currently are? Please be as honest as possible.
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Your answer
What are your 3 biggest obstacles when it comes to achieving a balanced diet?
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Your answer
Past injuries, operations, fractures, broken bones, medical conditions. Please disclose all past and current injuries & issues however minor or major they may have been
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Your answer
On a scale of 1-10 how committed are you to improving & investing in your health & fitness and achieving your goals?
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Not bothered
1
2
3
4
5
6
7
8
9
10
Extremely committed, I want to go now
Please briefly explain why you feel I can help you & why NOW is the time to get started?
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Your answer
Do you need to get permission from your doctor before starting a new fitness programme?
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Yes
No
Book your consult call using the link below
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Yes I have booked my consult call
Book your initial 10 minute consult call here. Click the link & open in a new tab to book in on my call calendar at a time that works for you
https://go.oncehub.com/kkbfit10mincall
My time is important as is yours, I look forward to chatting with you on our call. Please make sure you are on time for the call, somewhere with little-no distractions & a good internet connection with a pen & paper so we can get the most out of your call.
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