Strength Coaching Application Fresno

coaching application

Name

Email

Phone

How do you identify?

Male Female

How old are you?

Height

Weight

What do you do for work?

What are you goals?

I want to Loose weight / fat I want to build muscle I want to maintain weight

How active are you currently?

Very Active (4-6 days a week) Moderately Active ( 2-3 days a week) Inactive (0-1 days a week)

Brief breakdown of your current lifestyle and routine. (Eating habits, sleep, schedule, work schedule, weekends, hobbies, etc..)

What’s holding you back?

What is your current average diet like day to day?

Make a list of any and all vices

How do you feel like we can help you, and what do you hope to change about your life?

Are you ready to invest a significant amount of time and money and energy on your health and fitness?

Yes No