Abs Science Coaching Application
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GENERAL INFORMATION
Full Name *
Age *
Gender *
Where do you live? (country) *
Email Address *
P.S.: MAKE SURE YOUR EMAIL IS SPELLED CORRECTLY OR I'LL NOT BE ABLE TO CONTACT YOU!
Weight *
What's your occupation? *
Just trying to see how sedentary/active you are. Activity levels will change how I design programs for you.
How are you spending your time? How do you feel about your schedule, time use, and overall busy-ness?
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What’s around you? Who lives with you?
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On average, how many hours per night do you sleep?
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GOALS
In a couple of sentences, what goals do you plan on achieving through working together? *
Out of all of the above goals, which ones feel most important / urgent? *
What are your current challenges, concerns, frustrations or pains stopping you from achieving your goals?
 *

What do you expect from me as your coach?

 *
What would have to happen at the end of this 1:1 coaching for you to look back and say it was successful?
 *
CURRENT TRAINING & HEALTH
What does your training (if any) currently look like? *
Where would you be training? *
Have you have been diagnosed (currently or in the past) with any significant medical condition(s) and / or injuries? *
Right now, are you taking any medications, either over-the-counter or prescription?
 *
For women only: Have you had at least three consecutive menstrual cycles prior to this application? If you have not had, this is not the right time for you to diet. Get hormonal health in check first.
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EATING HABITS
On a scale 1-10 (1 being horrible and 10 – awesome), how would you rank your overall eating / nutrition habits? *
Why? *
On a scale of 1-10 (1 being – all over the place, 10 – perfectly consistent), how consistent would you say you are with your eating habits?
 *
If you’re less consistent than you’d like to be, what seems to get in the way or knock you off track?
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Who does most of the cooking in your household?
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Do you have any known / diagnosed food allergies or intolerances? If yes, what are those?
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Do you have any nutritional preferences? Do you only eat paleo, vegan, keto, the hearts of your enemy? If yes, for how long have you followed this way of eating? *
Do you normally struggle with food cravings?
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Have you ever noticed any connection between your emotions/stress and your eating habits? If yes, what happens? (e.g., When I’m feeling sad, I use food to comfort myself; when I’m happy I notice I have fewer cravings)
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How often do you normally make meals at home?
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How often do you normally eat meals in restaurants / cafeterias?
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Do you currently track your calories and/or macros? If no, are you willing to track your calories and/or macros? (That's not something you have to do)
 *
Thinking about all that you have written down here, what do you think you might like to start working on or addressing first?
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BEFORE SUBMITTING YOUR ANSWERS
Are you willing to financially commit in yourself to achieve your goals? *
Coaching costs: Month-to-month - 200 USD/185 EUR, 3 months paid in advance - 540 USD/ 495 EUR (equivalent to 180 USD/month or 165 EUR/month)
Lastly, where did you hear about Abs Science? *
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