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1:1 Online Coaching
Take a moment to answer these questions. If I'm 100% confident I can help you after reviewing your application, I'll reach out within 24-48 hours to schedule your complimentary consultation.
If for whatever reason I DON'T feel like I'm an excellent fit for you, I'll still reach out to refer you to another coach or solution.
Cheers!
Chris
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First Name
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Your answer
Last Name
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Your answer
Email
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Your answer
Instagram Handle
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Your answer
Phone Number
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Your answer
Age
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Your answer
Tell me a little about yourself... 🙂
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Your answer
Average hours of sleep per night?
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Your answer
Rate your sleep quality*
1 = Toss and turn constantly, see every hour on the clock. 10 = sleep straight through the night, rarely waking up.
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Clear selection
What is your PRIMARY goal?
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Lose Body Fat
Gain Muscle
Improve Body Composition At Current Weight
Have More Energy & Vitality
Gain Control Of Your Relationship With Food & Exercise
Improve Athletic Performance
Other:
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What is your SECONDARY goal?
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Lose Body Fat
Gain Muscle
Improve Body Composition at current weight
Have More Energy & Vitality
Gain Control Of Your Relationship With Food & Exercise
Improve Athletic Performance
Required
What is LEAST important?
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Lose Body Fat
Gain Muscle
Improve Body Composition at current weight
Have More Energy & Vitality
Gain Control Of Your Relationship With Food & Exercise
Improve Athletic Performance
Required
What are your short term goals - what do you want to achieve in the next 4-6 weeks?
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Your answer
What are your long-term goals?
Be as specific as possible. Ex: Get down to a certain weight or body fat, squat X pounds, etc.
Your answer
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Your answer
Are you currently training consistently?
If yes, proceed to question 16. If no, proceed to question 18.
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Yes
No
How many days per week do you currently weight train?
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Your answer
How many days per week do you do cardiovascular specific activity?
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Your answer
How many days per week do you WANT to weight train?
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Your answer
What is your ideal duration for a workout?
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Your answer
What type of weight training programs have you used in the past?
Check all that apply
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Push,pull,leg
Upper/Lower Split
One Body Part Per Day
Intense Home Workouts (p90x or Beach Body)
Silly Home Workouts (aerobics tape)
Other:
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Have you purchased or tried any health/fitness programs in the past? Have you ever worked with an online coach? If so, how would you describe your experience? What were your likes and dislikes?
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Your answer
What does your current diet and exercise routine look like?
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I work out several times a week and pay attention to my nutrition
I am currently sedentary (don't work out) and need to improve my nutrition
I have my workouts down pat but need more guidance with my nutrition
I have my nutrition down pat but need more guidance with my workouts
If you have any diagnosed health problems, please list them here.
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Your answer
f you are on any medications, please list them here.
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Your answer
Do you have any current injuries?
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Your answer
How would you describe your level of activity at work?
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Office - I sit all day
Teacher - I stand, but not much activity
Moderate - I walk around a lot
High - Moving and grooving all day (construction, personal trainer, etc)
What do you do for a living?
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Your answer
Socially, describe your average week.
Do you go out often? Movies? Stay in and read?
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Your answer
What do your weekends look like?
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Your answer
Describe your alcohol consumption.
Amount, frequency, type of drinks you enjoy.
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Your answer
Do you prepare the majority of your meals?
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Your answer
How many meals do you typically eat each day?
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Your answer
Are you currently following a specific diet or nutrition plan
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Your answer
If so, what is the name or your diet or could you please describe it for me.
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Your answer
What is our average daily calorie intake?
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Your answer
Please provide a 3 day food log below that includes everything you eat/drink and the time you consumed each meal! (
if you prefer to email this to me separately that works!
)
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Your answer
What is your biggest struggle related to diet?
Sweet tooth? Travel schedule?
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Your answer
Have you ever had an eating disorder or thought you may have an eating disorder?
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Your answer
Do you have any food allergies, if so, what are they?
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Your answer
Would you rather:
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Make VERY FAST progress that you know IS NOT sustainable
Make A BIT SLOWER progress that you know IS sustainable
Please elaborate on your answer to the above question.
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Your answer
Why have you chosen to work with me as your coach?
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Your answer
Coaching requires a minimum commitment of 6 months, though most of our clients choose to stay longer. Are you willing to spend a few hundred dollars monthly to make this physical, mental, and financial investment in your health and fitness?
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Yes, I am ready to invest in myself! 👍
No, I'm not ready. 😔
Anything else you feel like sharing, please do so below
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Your answer
Would you like to be added to my VIP email list for exclusive and FREE educational content (no spam, just education)?
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Yes, please!
No thanks!
I'm already on your email list - I love it!
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