Coaching Application
Name:
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Phone:
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Email:
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Confirm Email:
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Instagram Handle @:
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DOB:
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Height (cm):
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Weight (kg):
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Sex:
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MALE
FEMALE
Location:
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What coaching package are you wanting?:
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Complete Coaching
Training Only
Nutrition Only
What is your main physique goal?:
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Build Muscle
Lose Fat
How long are you looking at working with CF Coaching for?:
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12 Weeks (Minimum)
3-6months
6+months
What else would you like to get out of coaching, other than muscle gain and/or fat loss?:
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How committed are you to achieving your goals?:
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This field is required
Is there anything CF Coaching should know or you would like to add, or are there any questions you have about coaching?:
Where did you hear about CF Coaching:
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I understand and agree that there is a commitment to coaching that I must follow my program properly or inform my coach if I do not, and that I must be completely honest with checkins and progress in order to see results. I also understand and agree there is a financial commitment to coaching and I am able to pay for at least the 12 week minimum term, or there is an early cancellation fee if I wish to stop coaching prior to this:
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YES
Has your medical practitioner ever told you that you have a heart condition or have you ever suffered a stroke?:
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YES
NO
Do you ever experience unexplained pains or discomfort in your chest at rest or during physical activity/exercise?:
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YES
NO
Have you had an asthma attack requiring immediate medical attention at any time over the last 12 months?:
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YES
NO
Do you ever feel faint, dizzy or lose balance during physical activity/exercise:
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YES
NO
If you have diabetes (type 1 or 2) have you had trouble controlling your blood sugar (glucose) in the last 3 months?:
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YES
NO
Are you pregnant or breastfeeding:
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YES
NO
Have you been diagnosed with any other medical or mental health conditions, diseases, disorders, or suffer food allergies or intolerances?:
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YES
NO
Are you currently taking any medication?:
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YES
NO
If you answered yes to any of the previous medical questions, please provide details:
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