Personal Coaching Form
Name:
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Surname:
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Phone:
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Email:
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Age:
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Gender:
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Male
Female
Other
In what area of training can I help you with?:
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Strength & Conditioning
Weight Loss
Mobility / Flexibility
Skills Based Training (Handstands / Calisthenics etc)
Unsure
Overall Fitness
Other
What is your current training regime (walking, gym, nothing at the moment..etc):
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Have you any previous Injuries or Illnesses (All of it please, no matter how minor you think they might be):
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Are you restricted in any movements?:
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Any movements give you pain?:
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What are your short term goals?:
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What are your long term goals?:
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If we find a suitable program for you, are you willing to financially invest in your health? :
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Definitely - I՚m ready to take action
Maybe
No - I want free advice
When would you be looking to start?:
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Why do you want to address it now? Why not next month, or next January:
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