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Online Coaching Questionnaire & Waiver
Answer as best you can. We will review at a later date and make any needed changes!
Rate of Activity* ( 1 - 10 )
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What's your goal? (multiple choice)
Lose Weight
Build Muscle
Athletic Performance
Body Recomposition
Improve Health
What's your prefered eating style?
Anything
Mediterranean
Paleo
Vegetarian
Ketogenic
Fully Plant-Based
Open Response
Have you tracked macro/calories before?
Yes
No
What kind of meals do you eat in a typical day? Where do you feel it can improve?
Do you have experience in the gym?
Are there any exercises you DO NOT feel comfortable with?
Are there any exercises you WOULD LIKE to have on your plan?
Do you have any current or past injuries/medical conditions that may interfere with diet and training programming? If yes please explain:
Is your goal fat loss, muscle/strength gain, or both?
How many days a week do realistically see yourself going to the gym?
Please explain your goals in full detail (the more detail the more I can help!)
Have you worked with a coach in the past? (If yes how was your experience?)
Do you have allergies I should be aware of?
Summarize your current resistance training and cardio program? If you do not have one put "NA"
What gym equipment do you have accessibility to?
Is there anything else that I should know?
Waiver
DISCLAIMER: This online coaching program is designed to provide helpful information for those looking to live a healthier lifestyle. I'm not a doctor so please consult your physician before engaging in a fitness program. You MUST understand that it is your responsibility to consult with a physician prior to and regarding your participation in the program. YOU agree to assume full responsibility for any risks, injuries, or damage known or unknown that I might incur as a result of participating in the program. Such injuries may include but are not limited too, heart attacks, muscle strains, muscle pulls, muscle tears, broken bones, shin splints, heat prostration, injuries to knees, injuries to the back, the foot, or any other illness or soreness. If you are experiencing a health emergency, please contact 911 or your emergency number in your specific location.
Sign Waiver by checking a box
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I need to think about it.
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