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Thank you for your interest in my online coaching programs. To take the next step towards working together I’d appreciate it if you can fill out the following information.
This is the first step in the information gathering that we’ll do. It is very important to me that you receive a tailored service suited exactly to your needs and in order to do so I need to get to know as much about you as possible!
About you
*
Indicates required field
Name
*
First
Last
Email Address
*
Gender
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Date of Birth
*
Height (cm)
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Please enter your height in centimetres.
Weight (kg)
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Please enter your current weight in kilograms. If you are unsure then write 'Unsure'.
About your goals and History
Please keep your responses in this section really brief, we'll go into it all in much more detail before we get started with online personal training.
Briefly outline your 1 or 2 main goals that you’d like to achieve in the next 12 weeks:
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Briefly outline what you’d like to achieve over the next year:
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Are you managing any injuries at the moment? If so please give details:
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What does your current training look like over the last 3 months?
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Detail what your last 3 months have looked like activity wise
How would you rate your current level of fitness?
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1 - Very Unfit
2 - Somewhat Unfit
3 - Average
4 - Somewhat Fit
5 - Super Fit
How did you hear about my online coaching? (eg. Recommendation, google search, facebook, instagram etc.)
*
I agree to receiving marketing and promotional materials
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Home
About
Programs
Personal Training
Online Training
Success Stories
Contact
Blog