Coaching Consultation & Health Form
Be completely honest in your form as this is a relationship. I will help you get in the best physical & mental shape of your life. But we need to work together and I will provide you with a premium coaching service.

Once the form below is complete I will get to work on your plan. Then we can jump on a call in the next 24-48 hours to run over the program.

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Name: *
Age: *
Gender: *
Email : *
Instagram name:
Contact number: *
Occupation: *
Where do you live? *
Please tell us about your current exercise/training programme, if any. For example, Push, Pull, Legs, CrossFit, Classes, Yoga, Running etc...                                       *
 Goals? *
Why are these goals important to you? *
Do you have any injuries? *
Weight (kg/lbs) *
Height (ft/cm) *
What do you want from your Coach (Brandon Hepburn) Results, knowledge, confidence, lifestyle change, or other?                     *
Write down 3 things you love about yourself. *
What are your values? Give me about 5-10 values. *
Where do you want to be in 6 months…a year? What do you look like, feel like, do, etc.? *
What are the biggest obstacles that have kept you from reaching a goal on your own already? *
Who do you feel supports you? Who/what holding you back? *
What are your priorities? *
Describe your current state of mind to Training and Nutrition. E.g. Motivated! just need more support, structure, and/or. *
How active is your job? E.g. I sit at a desk most of the day. *
What Gym do you use/train out of? *
Do you have any allergies or intolerances?
*
What are your favourite foods? *
Any foods that you dislike?
*
How much water do you drink on an average day? *
How much sleep do you get per night, on average? *
Tell me how you feel when you wake up in the morning? A little bit thirsty and dizzy. *
On a scale of 1-10. 10 being the BEST and 1 being TERRIBLE. How are you feeling?
Digestion *
Energy Levels *
Sleep *
Stress *
Strength *
Recovery *
Have you ever tracked your food intake? (Calories or Macros) *
How many days a week would you like to workout? *
What has work out for you in the past? *
Are you able to track your food intake? *
Would you prefer a meal plan or macro tracking? *
Do you have any questions for me? *
Where did you hear about my services? *
What day and time is best to contact you for a chat? *
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