Your Name (required) Your DOB (required)
Your Email (required) Your Phone/Mob
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Indicate your reasons for choosing Online Coaching:
What are your main reasons for starting a fitness programme?
How would you describe your current general health and fitness? Very badBadAverage UntrainedAverage TrainedTrainedGoodAthlete
Have you done any structured exercise before? YesNo
If yes, what did you do? What did you enjoy the most? What did you dislike / least enjoy? What did you find easy? What did you find most challenging?
What would you say are the main barriers to you from structuring your exercise plan?
How many sessions are you willing to commit to a week?
Home Sessions | Gym Sessions
If doing gym sessions, please state which gym:
Roughly how long to do you want each training session to be? mins
Are you planning to do any other exercise outside of this workout plan? YesNo
If yes, please give as much detail as you can (day, time, duration and type of exercise - i.e. circuit class, outdoor run, treadmill session, spin class)
Please list any other equipment you have access to:
You should check with your doctor before you significantly change your physical activity patterns. If you are over 69 years of age and are not used to being very active, check with your doctor.
Please read each question carefully and answer honestly by indicating YES or NO.
Please indicate if you have ever experienced any of the following symptoms/ Do you:
I understand that when undertaking a new exercise regime I need to ensure I am physically fit and that I should check with my doctor first if I answer yes to any of the following questions
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