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Client detail fill in form
Hello!
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Email
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Your email
Full Name
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Your answer
What is your profession? (job)
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Your answer
Current weight(kg)
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Your answer
Height (cm)
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Your answer
Date of Birth
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MM
/
DD
/
YYYY
Have you had online coaching or pt'ing before? if yes - who and why did you discontinue with them?
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Your answer
When are you wanting to start online coaching?
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Your answer
Do you resistance/weight train right now?
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Yes
No
I haven't weight trained before
How often do you usually train per week?
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Your answer
Do you perform any cardio right now? if Yes how often & what type of cardio?
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Your answer
Do you currently track your calories/macros?
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Yes
No
If (yes ^) How many calories are you currently consuming per day on average?
Your answer
How many meals do you consume on a 'typical' day?
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Your answer
would you prefer to have a meal
plan put in place or be set calories & macro numbers ro adhere to each day but be given advice on foods to consume?
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Meal plan
Calories & macros only
What is your availability to train? (days per week)
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6 days per week
5 days per week
4 days per week
3 days per week
2 days per week
1 day per week
What is your current ability within the gym?
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Under 1 year
1-5 years
5 + years
Do you have any past/current injuries that should be specified? (If yes please state injuries , if not please put N/A)
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Your answer
Do you have any intolerances?
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Your answer
Do you follow any food related practices? (E.g veganism)
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Your answer
Is there anything surrounding your nutrition you wish to tell me? Likes/dislikes , bad experiences , digestive issues etc
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Your answer
Please list the foods you have on an ‘average’ day, breakfast, lunch, dinner and snacks.
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Your answer
How many hours of sleep do you typically get each night?
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Your answer
What hours do you usually sleep and wake on average?
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Your answer
If there is anymore information that you think would be important for me to know please specify below. (if not just put N/A)
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Your answer
How did you hear about my services/online coaching?
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Referred by an existing client
Social media
Word of mouth
Other:
If referred by an existing client please state their name
Your answer
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