Pre-a

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Pre-a

Thank you for taking an interest in Online Coaching. Please fill out this form so that I can get a better understanding of where you currently are and to see if we would be a good fit for working together. Please be as honest as you can.

Name *

Today's date *

YYYY

Email address *

Instagram handle (if you have Instagram)

Currently, how often are you purposefully exercising? *

Not at all

1-3 times per week

4 - 5 times per week

6+ times per week

If you do purposefully exercise, what kind of exercise do you do regularly (at least once per week)? Select all that apply. *

Weight training

HIIT workouts

Yoga

Walking/ hiking

Running

A sport (e.g. football, netball, basketball etc).

Other:

Required

What is your goal at the moment? (Check all that apply) *

Increase Body Confidence

Sustainable Fat loss

Build Strength

Train for a specific purpose e.g. an event

Get fitter

Build a routine

Have a better understanding of nutrition

To build lean muscle

To improve my mindset/ relationship with food, exercise, and/or my body

Other:

Required

What are your biggest barriers at the moment? (Check all that apply) *

Lack of time

Lack of knowledge

Confused on where to start

Lack of accountability

Lack of direction (unsure on what your goals are)

Other:

Required

Thinking a year ahead, what does your life look like in terms of health and fitness? How often are you exercising? What does your nutrition look like? *

What would it mean to you if you were able to achieve this? *

Have you previously worked with an online coach/ personal trainer? If yes, please say why that relationship ended. *

Are you currently in a position where you are willing to invest into your health and improve your overall quality of life? *

Yes

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