First Name *

Last Name *

Email *

Phone *

Date of birth *

Age *

Weight *

Height *

Please select the assigned Coach you are working with? *

Personal

About you *

What is your current occupation? *

What motivates you? *

What is your goal in the next 6-12 months? *

What are your body composition goals?

Which areas of your body do you want to target? *

What is it you need from us to help you achieve your goals? *

Are you going away on holiday any time soon? *

How did you hear about us? *

Have you used any other personal training or nutrition service? *

What is your t-shirt size? *

Mental Health

Over the last four weeks how often have you been bothered by any of the following:

Has thinking about your shape or weight made it difficult to concentrate on things you are interested in *

Not at all

Slightly

Moderately

Markedly

How uncomfortable have you felt seeing your body *

Not at all

Slightly

Moderately

Markedly

How many times in the last two weeks have you had a sense that you’ve lost control over your eating *

General Health

Do you have any injuries or restrictions? *

Do you suffer from high or low blood pressure? *

Type a Do you experience high levels of stress on a regular basis? *

Have you ever had an eating disorder?

Food allergies? *

Any digestive problems? *

Do you suffer or have suffered from any of the following conditions - Heart Disease - Stroke - Diabetes - High Cholesterol? *

Do you take any medication or supplements? *

Do you experience episodes of anxiety or depression? *

Sometimes

Always

Never

Can you describe your current sleep pattern? *

Diet & Nutrition Info

Diet History *

Whats is your relationship with food like currently - Do you over or under eat? *

How many calories are you currently on? *

What do you eat and drink in an average day? *

Do you eat very similar meals each day or are they varied? *

How often do you eat? *

Do you consume alcohol? *

What are your nutritional weaknesses? *

Foods to include *

What are your favourite snacks? *

What are your preferred food dressings or sauces? *

Foods to avoid *

Your weekly food shop budget *

Daily Activity & Training

Please give us a description of your average day *

Do you track your daily steps? *

How active are you at work? *

What is your training-exercise history? *

What level would you class yourself at in training and exercise? *

How often do you train currently? *

When do you train? *

Do you follow a current training routine or split? *

What type of training do you prefer? *

What type of cardio do you prefer?

What facilities are available? *

When you’re learning something new, what helps you understand it best? *

Your answer might hint at your dominant learning style: A): You may be a visual learner, benefiting from diagrams, charts, and images B): You could be an auditory learner, absorbing information best through spoken explanations and discussions C): You may have a preference for reading/writing, understanding through written instructions D): You might be a kinaesthetic learner, learning by doing, experimenting, and engaging physically

Here are some examples of coaching styles, which one(s) would you identify with? *

Directive Coaching – The coach provides clear guidance, instructions, and solutions. This style is often used in skill-based learning or corporate environments where efficiency is key

Facilitative Coaching – The coach helps individuals unlock their own potential by asking thought-provoking questions and guiding self-discovery rather than giving direct advice

Transformational Coaching – Focuses on deep personal growth, mindset shifts, and long-term change. It often involves emotional intelligence and behavioural transformation

Transactional Coaching – Goal-oriented and task-driven. This style works well in structured environments where progress is measured through clear milestones

Holistic Coaching – Takes a comprehensive approach, considering emotional, mental, and even physical well-being to support overall personal development

Mindfulness-Based Coaching – Incorporates techniques like meditation, reflection, and awareness to help individuals make better decisions and manage stress effectively

How might I respond to coaching?

• If you thrive on structure and discipline, a coach with a direct and goal-oriented approach might be ideal, someone who keeps you accountable and pushes you hard.

• If you’re more reflective and intuitive, you might benefit from a coach who focuses on self-discovery, helping you uncover insights rather than just giving instructions.

What’s your feeling about this? *

Referral – Please enter the email of the existing client who referred you. Without it, we won’t be able to track the referral or apply the offer to them.

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