Coaching questionnaire Full name * E-mail * Day of Birth * MM DD JJJJ Height * Bodyweight * 1-on-1 of Online Coaching * 1-on-1 coaching Online coaching If online, what equipment do you have access to? Occupation Is your job physical or sedentary? Physical Sedentary Do you have any health conditions? If so, explain * How would you describe your lifestyle? What is your stress level at the moment? 1 = not stressed at all, 5 = burnt out 1 2 3 4 5 How is your sleep? having trouble falling asleep? waking up tired? How many hours do you sleep? Daily step count? Less than 5k Between 5k and 10k More than 10k Have you ever had a personal trainer before? If yes, explain what you liked and disliked about it? How long have you been training for? * Less than a year 1-2 years 2+ years 10+ years How many times a week do you currently train? * 1-2 3-4 5+ What would you like to achieve in terms of training? * When would you like to achieve the goals by? * Why is achieving these goals important to you? * What are you expecting from your trainer? * How many days per week would you like to train? * 1 2 3 4 5 What time of the day would you be training? * 5am-12pm 12pm-2pm 2pm-5pm 5pm-9pm Is there anything that could affect your ability to train? Explain * How does your current diet look like? Please give me a breakdown Do you track your food? * Yes, very comfortable with it Yes, but not sure what to do No No, I don't want to track my food Do you eat out often? * Less than once a week 1-2 times a week 3-4 times a week How often do you drink alcohol? * Never Occasionally Sometimes Often Every day Any current or past eating disorders? Anorexia nervosa Bulimia nervosa Binge eating Something else How motivated are you in regards to achieving your goals? * 1 2 3 4 5 Je aanmelding is gelukt! Wij gaan zo snel mogelijk aan de slag met je inschrijving. Je ontvangt een e-mail voor de activatie van je account en de app waarmee je toegang hebt tot onze training centers.Tot snel!
