Client Application form

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Email *

Full Name *

Preferred pronouns

DOB

YYYY

Have you had covid? If yes, can you tell me when, the severity and any lingering symptoms *

Do you have any injuries that would prevent you from doing exercise? *

Has your doctor ever said you have a heart condition AND that you should avoid physical activity? *

Yes

Do you have a join or bone problem that could be made worse by physical activity? *

Yes

Can you think of any reason why you shouldn't do physical activity? *

Please describe training history. *

What are your goals? *

What does achieving these look like? *

What have you tried in the past? *

How many times a week are you prepared to train? *

What do you struggle with most in terms of diet? *

What are you hoping to achieve through online coaching? *

When you think about what you want, what does that look like *

What do you think is standing in between you at that dream? *

Is there anything else you'd like to tell me about your goals and your current habits?

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