Questionnaire – Online Coaching Name(required) Email(required) Phone(required) Date of Birth(required) What types of training are you seeking for?(required) Injury Management Performance Enhancement Strength and Conditioning Adult Gymnastics Do you have any injuries, limitations or medical history we should know about?(required) Where do you see yourself in 3 months, with this program?(required) What are you currently struggling with? e.g. Skills progressions, training plateau, accountability, motivation, injuries etc(required) Do you have access to a gym?(required) Yes No If you answered no to the previous question, what exercise equipment do you have at home? Why do you think our coaching is going to help you achieve your goals?(required) On a scale of 1-10, how much effort are you willing to put in to achieve your goals? 1 being “sitting on a couch and having donuts”, 10 being “using the couch to do an Overhead Press if I have to” (required) 1 2 3 4 5 6 7 8 9 10 Ready to achieve your goals?(required) Yes, let's do it! Nah, I prefer to netflix and chill. Submit
