Pre-qualify
This form is your silent interview. Fill it out completely and thoroughly to be contacted.
If you are not serious or ready to improve your life, don't waste mine.
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Email *
Name (may be real or alias) *
Age *
DOB: *
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Location *
Do you have any injuries or medical conditions that might affect training? *
Required
What is your current weight? (Write Lb or Kg next to weight) *
What is your goal weight where you will feel more confident about yourself? *
What is your height *
Are you... *
What are your fitness goals? Be SPECIFIC and DETAILED! YOU MUST Explain WHY this is your goal. *
Have you had personal training in the past? *
Required
for training purposes I need to know if you were born: *
Required
How much cardio you do each day? *
Do you do resistance training (weight training)? *
What specific area(s) on your body that you would like to improve and WHY? YOU MUST EXPLAIN WHY! *
Do you have any injuries? *
What are your Daily stress levels? *
Do you take supplements? If so, what? *
How many meals do you eat a day? *
How often do you snack a day? *
What are your objectives? *
How much water do you consume in a day? *
Have you dieted before and if so what have you done? *
How did you hear about Sadistic Coach? Check all that apply *
Required
List fitness equipment at home. *
On a scale of 1 to 5, how ready are you to invest your time, energy and financial resources to your fitness goals? (1 being "not ready at all" to 5 being "very ready") *
Why did you rate that number? Explain. *
What are your kinks/fetishes that you feel apply? *
Is there anything else you feel I should know? *
DISCLAIMER: I certify and acknowledge: That I freely and knowingly assume the risk in such programs, and I hereby waive any right, claim, or cause of action against Sadistic Coach and release her from any liability for any injury, illness, cost, damage expense or claim, which I or anyone on my behalf might incur as a direct or indirect result of my participation in this cardiovascular, resistance-training program and diet.That I fully understand that the advice given is hypothetical and not given from a medical or nutritional professional. Your information will remain private at all times. The details of our professional interaction will not be discussed nor disclosed at anytime. I expect the same from you. By printing your name, you agree that you have read and agree to my Privacy Notice, Refund Policy and over the age of 18. A printed name will be taken as signature and agreement of this liability waiver form and also confirms that the information I have provided to Sadistic Coach is correct and true. Sadistic Coach has my permission to use my photos and quotes from my comments, and use these quotations and photos in any promotions used to market services, unless I send an email to opt out. (PRINT NAME AND DATE) *
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