Date of birth

First Name

Last Name

Gender

What is your experience in the Gym?

What are your specific goals for this program?

Feel free to elaborate on the above...

What challenges have stopped you from achieving your goals in the past? (Injuries, Lack of accountability, Lack of motivation, not seeing results etc)

Do you have access to a fully equipped gym?

How many days per week can you realistically commit to training?

What does a typical week of physical activity look like for you? (Other sports training etc).

Do you have any past or current injuries that I need to be aware of? If you are currently managing an injury, Include any prescribed exercises by other health professionals (eg: Physio).

Are there any exercises or movements that you struggle with due to a restriction or other?

Do you have any specific nutrition goals that align with your training? (Fat loss, muscle gain, maintenance)

How comfortable are you with compound lifts (squat, deadlift, overhead press, etc)?

What type of coaching/programming are you after?

I require a minimum 8 week commitment to take you on as a client, are you happy to commit to this minimum timeframe?

Email *

Phone *

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