JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Coaching Application
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email
Which Coaching Option Are You Interested In?
*
1-1 In Person / Zoom - waitlist only as of 6/01/2023
1 Time Consult / Strategy Session
1 - Small Group In Person / Zoom
Other:
IN PERSON COACHING IS WAITLIST ONLY!
Name
*
Your answer
Phone Number
*
Your answer
Gender & Pronouns
*
Your answer
Age
*
Your answer
Height
*
Your answer
*optional: Weight in lb or kg
Your answer
Overall Goal(s) Be as specific as possible
Your answer
Upcoming meet or competition?
Your answer
What has your body weight/comp trend been recently? Have you implemented any dietary interventions in the last 6-12 months? If so what intervention and how did you progress?
Your answer
Current Training if any (conditioning, weights, sports, etc.). If any please explain a usual week.
Your answer
Current lifts if you're training (squat, bench, dead, any olympic lifting, pullups, pushups max)
Your answer
How many times per week do you train and on what days? How many times per week are optimal for your schedule?
Your answer
Please list current or previous injuries that may affect your training. Are there any movements you are medically advised not to do? Are there any pain provoking movements?
Your answer
What days and times are you available to train?
*
Your answer
Please include any other relevant information you would like me to know:
Your answer
In-person coaching clients can expect:
- A formal intake process with a thorough needs and movement assessment
- Weekly customized programming for your goals
- Fundamental nutrition coaching and support
- Regular movement feedback and support live during training sessions and via video footage review for homework done independently.
- Straight forward $70 per session billing paid session by session or billed monthly for sessions to be delivered during the month.
Please watch the following video to understand how programming will be delivered:
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
Privacy
Terms
This form was created inside of Anneliese G Spence.
Report Abuse
Forms
