Enquiry Form
Full Name
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Email
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Phone
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Age
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Your Instagram Handle
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What are your fitness goals?
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(fat loss / muscle building / strength / structured routine etc - please be specific and to the point)
What is your level of gym experience?
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Beginner
Moderate (Know the basics)
Experienced
What have you tried so far in regards to reaching your goals?
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(Diets, training programs, previous coach, nothing yet etc. please give detail)
What has stopped you in reaching your desired goal?
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I don't know what to do in the gym
I need accountability
I don't know what foods I should be eating
Joining a gym makes me nervous as I am worried I will look silly
I am worried about what others will think
I don't have time
Which statement describes you best right now?
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I want to make a change but I don't know where to start
I have started my fitness journey but I could benefit from some guidance/structure
I have started my fitness journey but I honestly have no idea what I am doing
I know what I am doing but I need the support and accountability of a coach to help me reach my full potential
On a scale of 1 -10, How motivated are you right now? (10 being extremely motivated)
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1
2
3
4
5
6
7
8
9
10
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Envision yourself in 6 months time, you have accomplished the goals you have set, describe to me in detail what this looks like for you.
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What has made you want to work with Jess to reach your fitness goals?
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Physical progress aside, what other aspects of your life would you like to work on in 2026?
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(Confidence, energy, sleep, relationships, productivity etc.)
How many days a week could you commit to training in the gym?
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2 days
3 days
4 days
5 days
Are you ready to invest in yourself and make your health and fitness a priority in 2026?
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When do you want to start working on becoming the best you?
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ASAP, I am ready now
I'm in no rush
Have you any injuries / on any medication I should be aware of?
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Have you any dietary requirements?
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(Vegetarian, vegan etc.)
Give me an outline of what an average day of eating is like for you? Please be honest here
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Favourite foods / foods you dislike
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I find that setting a goal with a set time frame is a great motivator when it comes to reaching your fitness goals, have you any events or holidays in the new year we could use to work towards? Would a fitness photoshoot as a goal be of interest to you?
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Is there anything you would like to let me know before we start?
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