1:1 Coaching Application

Thank you for your interest in 1:1 coaching! Please complete this application thoroughly so we can determine if we're a great fit. All information is confidential.

1. Personal Information

Full Name *

Age *

Phone Number *

Email *

Location / Time Zone *

2. Health & Medical Background

Do you have any current injuries or medical conditions? (If yes, please describe.)

Are you currently taking any medications? (If yes, which ones?)

Have you been cleared by a doctor to exercise? *

YesNoNot sure

Any past surgeries, chronic pain, or mobility limitations? (Describe if applicable.)

3. Fitness History

How would you describe your current fitness level? *

BeginnerIntermediateAdvanced

What types of training have you done before? (Strength training, cardio, classes, sports, etc.)

How many days per week do you currently exercise? *

Have you worked with a coach or trainer before? *

YesNo

4. Goals

What are your top 3 fitness goals? (e.g. lose fat, build muscle, increase strength, improve mobility) *

Why are these goals important to you? *

What does success look like for you in the next 3-6 months? *

Do you have any upcoming events or deadlines related to your goals? (Wedding, vacation, competition, health milestone, etc.)

5. Lifestyle & Habits

What does a typical day of eating look like for you? *

What is your current stress level? *

LowModerateHigh

How would you rate your sleep quality? *

PoorFairGoodExcellent

How many hours do you work per week? What's your schedule like? *

What obstacles currently prevent you from reaching your goals? (Time, motivation, consistency, knowledge, injuries, etc.) *

6. Commitment & Coaching Fit

How committed are you to working toward your goals? (1-10) *

What kind of coaching style do you respond best to? (Direct/tough love, gentle/supportive, structured, flexible, etc.) *

Are you willing to track workouts, nutrition, and/or habits as part of the program? *

YesNoDepends - be specific

What is your budget for coaching? (Optional)

7. Program Logistics

Preferred coaching format: *

Fully onlineHybridFully in-person (if local)

Preferred start date: *

8. Final Notes

Is there anything else you'd like me to know before we begin?

Thank you! I'll review your application and get back to you within 24-48 hours.