Online Fitness Coaching Enquiry

Basic Info

Full Name

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Instagram Handle or email

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Age

Please enter your age

Height

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Weight

Please enter your weight

Goals

What is your main goal right now?

Fat loss Build muscle General fitness Mix of all

Please select your main goal

Tell me more about your goal — what does it actually mean to you?

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What would success look like for you in 3–6 months?

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Training

What is your current training experience?

Beginner Intermediate Advanced

Please select your experience level

How many times per week do you currently train or want to train?

Please select training days

How long do you have available for workouts?

30 min 45 min 60 min 75–90 min

Please select available time

What exercises do you enjoy doing?

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What exercises do you dislike?

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Do you have any injuries or limitations?

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Coaching Direction

What would you like from me as your coach?

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Would you like more in-depth help with nutrition and meals?

Yes No Maybe

Please select an option

Lifestyle & Nutrition

Walk me through a full day of eating — what does that actually look like right now?

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Are you currently taking any supplements?

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How much water do you drink on a typical day?

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How active are you outside the gym?

Mostly sitting Mixed On my feet Active job

Please select your activity level

Struggles

What has been your biggest struggle with fitness?

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Commitment

Are you willing to follow the plan and complete weekly check-ins?

Yes, 100% I have questions first Not sure yet

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What would you like to gain from me as your coach?

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Would you be okay with me potentially using your progress photos for testimonials? (face can be hidden if you want)

These would only ever be used with your full permission.

Yes, happy with that Maybe — depends on results No, I'd prefer not to

Please select an option

Anything else you'd like me to know? optional

Online Fitness Coaching Enquiry

Application received.