Coaching Inquiry Form

Please take a few minutes to complete this form before we meet. Your answers help me understand your goals, as well as the patterns, stressors, and obstacles shaping your current health and fitness. That way our time together can be direct, supportive, and solution-oriented. This isn’t a commitment to coaching, it’s simply a chance to explore what support would move you forward.

Personal Information

First Name *

Last Name *

Email *

Phone Number *

How did you hear about me?

Your Goals

What made you reach out for support at this time?

What is frustrating or not working right now regarding your health and fitness?

What are your top 1–3 health or fitness goals?

Fat loss

Build strength

Reduce pain

Improve posture

Improve confidence

Athletic performance

General health reset

Training and Health Background

Have you trained consistently before?

Yes

On and off

Are you currently dealing with pain or injuries? (Briefly explain)

What has or hasn’t worked for you in the past?

Lifestyle Snapshot

How would you rate your stress levels? (1-10)

How would you rate your energy levels? (1-10)

Do you currently follow any nutrition plan?

Tracking macros

Structured plan

Intuitive eating

Other

On average, how many days per week could you realistically commit to training?

Challenges & Needs

What do you struggle with the most? (Select all that apply)

Staying consistent

Nutrition

Accountability

Motivation

Lack of time

Confidence in the gym

Not knowing what to do

Mindset

Stress management

All of the above

What kind of support do you feel you need right now?

Are you ready to invest time, effort, and resources into coaching if it’s the right fit?

If we decide it’s a good fit, when would you ideally want to get started?

Final Notes

Anything else you want me to know before we speak?