Coaching

Please complete this application, this will give me a broader knowledge of your history and where you're at now. The data on this form will be collected and only accessible by you (the client) and myself.

On a scale of 1-10 how happy are you with your body right now?

Name*

First Last

Age*

Gender*

Male
Female

Phone Number

Email*

What's your favourite Movie?*

Do you like pineapple on your pizza?*

This is important...

Which option BEST describes your current situation?*

Lean/thin but want to gain muscle and strength
Burn body fat/get lean and look good naked
Lose weight and shape/tone my body
I've got some muscle on my frame but want to get shredded
Other

Training experience*

I've literally been winging it
1-6 months
6-12 months
1-3 years
Over 3 years

How long you've been lifting weights and/or following a structured plan with consistency.

Do you have any nutritional restrictions?*

Any health issues or major injuries/limitations?*

What do you feel is the biggest obstacle to achieving your dream body?*

What challenges are you facing?

Please describe your existing past diet history? What have you tried that hasn't worked?

Have you ever had a Personal Trainer/Coach before?*

Yes
No

In an ideal world can you describe what kind of shape you'll be in in 6-12 months?*

How did you find out about my Coaching services?*

Why did you choose specifically to apply to my coaching program?*

How commited are you to finally finding the solution to your problems and taking control of your health and body once and for all?*

I'll eat blended tuna and kale all day, every day if that's what it takes!
I'm definitely ready, just a little apprehensive
Yeah I'm kind of ready but... Oh look, there's a butterfly! So pretty...
I just slept for 14 hours straight, I think I deserve a nap.

Are you prepared to invest in achieving your goals and gaining complete control over your health and body?*

If I got the results I want then absolutely.
A little hesitant because of all the false promises in the past, but open to it
I'd rather keep wasting money on gimmicks and fads and stay stuck where I am

Info

Beyond PT

Phone

richard@beyondpt.co.uk