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Coaching Assessment Form
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* Indicates required question
Full Name (First & Last)
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Your answer
Email Address
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Your answer
Phone Number (Please include area code)
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Your answer
Where are you located? (Please specify city and state)
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Your answer
What is your current activity like?
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Active (work out 4-6 days per week with excessive cardio)
Fairly active (work out 3-4 days per week with little to no cardio)
Not very active (work out 1-2 days, if that, with no cardio at all)
Other:
Required
Do you currently follow any type of meal plan or count/track macros and/
or calories?
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Yes
No
Occasionally
On a day to day basis, how stressed are you?
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Not stressed at all
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Very stressed all the time (or very frequently)
Have you ever worked with a coach before?
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Yes
No
What is your goal in working with us? (Please be as specific as possible)
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Your answer
Would you be working with us as a couple or individually?
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With my spouse/partner
Me, myself, and I
How committed are you physically AND financially to working with us as your coach?
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Not 100% sure yet
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I'm ready! Let's freaking do this!
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