1:1 Coaching Questionnaire

Please complete this form with as much honesty and detail as possible to ensure I can provide the best support for your needs.

Name

First Name

Last Name

Age

Height

Weight

What is your main focus?

Fat Loss

Muscle Growth

Overall Health & Fitness

Strength & Performance

Not Sure

What are some short term and long term goals with your health and fitness?

What has stopped you from achieving these goals in the past?

Do you currently train? If yes, how many days per week?

Run me through your previous exercise history, if any. What kind of training did/do you do? How long have you been training for?

What does a regular day of eating look like to you at the moment? Please be as detailed as possible.

Please run me through any medical & mental health history.

Any previous or current injuries or movement restrictions? If yes, please explain.

How did you hear about me?

Thank you for filling this out. Any questions or other comments for me?