JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Client information
No need to sign in (press submit at the bottom once done)
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Name
*
Your answer
Email
*
Your answer
Phone number
*
Your answer
Weight (kg)
*
Your answer
Age?
*
Your answer
When is your preferred start date?
*
MM
/
DD
/
YYYY
Please give some information on your occupation & working hours. (start & finish time)
*
Your answer
which body type describes you?
*
Mesomorph (stocky, builds muscle easy, gains fat easy)
Endomorph (rounder shape, holds fat very easy)
Ectomorph (lean shape, struggles to gain fat & muscle)
Please list any injuries, pain or posture issues you have.
*
Your answer
Please list your available days & times for PT sessions (if required) add as many as possible.
Your answer
FITNESS INFORMATION
Please list all of your goals (in order of importance)
*
Your answer
How many & what other training sessions are you planning on doing each week? (don't include PT sessions) if you are unsure just put the number of sessions you can manage in a week.
*
Your answer
Please give me information on your current training routine mon to sun, include every activity / workout.
*
Your answer
EXTRA INFORMATION
Please note all of your bad habits & any areas where you struggle (binging, prepping, weekends etc.)
Your answer
Please list any supplements you take.
Your answer
Is there anything listed below that you would like to improve on?
*
Energy levels
Sleep quality
Mood
Health
Productivity
Recovery/Rest
Structure to your week
Nutrition knowledge
Positive mindset
Required
PT Packages. (20% discount for long-term clients)
*
One-to-one PT (From £160)
Buddy PT (From £100)
12 Month consistency coaching (£500)
Other:
Customise your package, (25% DISCOUNT WITH PT).
Do you need meal plans to follow that are set to the exact calories you need with the recipes you have pre-selected as an option? (£50 With PT)
Do you need recipes and food plan ideas to use as a guide, so you can choose what to eat yourself, following the calorie / macro targets given? (£25 With PT)
Do you want Two-week check-in updates & accountability reviews? (+£25)
Other:
Customise your package; these are included with PT if needed (But can be purchased separately)
Do you want a 1-1 on the fundamentals of Nutrition? (included with PT)
Do you need workouts to follow when you train yourself, covering multiple other days? (Included with PT)
Other:
How many hours of PT do you want to do in a week?
*
30mins per week.
60 mins per week.
2 hours per week.
Other:
Required
How many weeks do you want to be guided with PT?
*
4 week.
8 weeks.
16 weeks.
24 weeks.
unsure.
Other:
Required
NUTRITION
SKIP IF YOU DO NOT NEED NUTRITION
All nutrition information is to offer guidance & structure, you have full flexibility to eat anything you like, please consult your doctor if you are on any prescribed medication. as there may be some things you should avoid.
Please list any outside influences that may affect your ability to stick to your nutrition guides?
*
Your answer
Please list any allergies & dislikes.
Your answer
What nutrition methods have you tried before?
Your answer
How strict do you want to be whilst on your Nutrition plan?
100% - complete overhaul.
90% - Allowing 10% of your daily calories to be left for anything off plan or classed as unhealthy / low in nutrients.
80% - Allowing 20% of your daily calories to be left for anything off plan or classed as unhealthy / low in nutrients.
Clear selection
Breakfast?
Prefer not to eat.
Needs to be something quick.
Can be cooked the night before or first thing.
Either.
Clear selection
Lunch?
Needs to be something quick.
Needs to be prepped.
Can't be something that needs to be reheated.
Dinner?
Needs to be something quick.
Needs to be prepped.
Can't be something that needs to be reheated.
Clear selection
Snacks? Snacks aren't something that's essential, your meals should cover the majority of your calories, but if you need some due to helping you limit cravings or binging, when would you need / prefer to have?
Mid morning.
Mid afternoon.
Late evening.
How would you prefer to be contacted.
*
Phone call.
What's app.
Email.
Would you also prefer a face to face consultation before starting?
Required
I am on the gym floor early to late evening, however I aim to do administration tasks on Wednesdays, Fridays & Sundays, Please be patient while waiting for a response, Thank you.
Your answer
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. -
Terms of Service
-
Privacy Policy
Does this form look suspicious?
Report
Forms
Help and feedback
Contact form owner
Help Forms improve
Report
