ATA 1-1 Consultation Form
Online Coaching is really the most effective and affordable way I can offer my services as a Coach.

With Online Coaching, I'm like your very own virtual personal fitness consultant...here for your every health and fitness need!

Basically: everything I do with my in-person clients, except done through the web via email, text, and an easy to use app on your phone!

Fill out the application below to see if you are a good fit and I'll get back to you within 24 hours - unless I'm fighting crime, then it may take longer (shh don't tell anyone)

Name *
Gender *
Age *
Date Of Birth *
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Email *
Phone number *
Height in cm. *
Current Weight in Kg. *
What type of coaching are you applying for?
What prompted you to contact me for coach? *
Do you have any specific goals? *
What would a successful outcome look like to you? *
How can I support you best in this? What do you need most? *
What are your main barriers at the moment? *
How would you describe your current dietary approach? *
What does a typical day look like? What would you typically eat? *
How often do you eat food that you have not cooked yourself?
How would you describe your current nutritional knowledge? *
Currently how many times a week are you exercising/training *
If you require a program many programmed session do you believe you can comfortably fit into your schedule per week? *
How long do you think you can manage per session? *
If you have any home equipment please list below. *
What have you most enjoyed/disliked about previous exercise approaches? *
How active are you outside of the gym? Do you have an active job? *
What do you currently do for work? *
Are you using any medications (prescribed or other, including birth control)? *
Are you using any supplements? If so, why? *
Do you have any additional information which may be of use?
Any injuries or limitations that I should know about? *
On a scale of 1-10, 1 being Naaaa not to fussed, 10 Lets Goooooooo, how ready are you to make changes to reach your goals
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Is there anybody else who might be involved in the decision-making process? *
List the times and dates which are best to have a consultation conversation. *
Are you prepared to invest £50-150/month for coaching to change your life?
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