Online Application Form - The Gym at Maghera

Are You Ready to Go to The Next Level?

How’s it going and thanks for applying for my online coaching program. Why do you have to apply? The truth is we might not be a good fit for each other. And that’s Okay. This application form helps me find out whether I would be a good fit for coach for you.

Due to demand there is only so many people I can take on at any one time so I want to make sure that places are strictly limited to those people who are fully committed to doing everything that is required to get the best result in the time we have together.

Let’s start by collecting some important information from you.
Full Name:
Age:
Gender
- Male
- Female
Best phone number to contact you:
Email Address:
Height:
Weight:
Estimated Bodyfat Percentage?
What’s your favourite Podcast?
What’s your favourite food?
What’s your favourite movie?
What’s your favourite book?
Health History
Any health concerns you currently have or suffered from in the past that may effect training?
Training History?
Briefly explain what you have done before, what you feel work and what doesn’t work for you?
Injury History?
List any current injuries and any other injury you have had before.
Squat – 1RM 3RM
Deadlift – 1RM 3RM
Bench Press – 1RM 3RM
Chin Ups (strict form, full lockout at bottom) – 3RM Or Max Number of reps
Bodyweight
Overhead Press (push press or military press or split jerk or dumbbell shoulder press – 1RM 3RM
Have you ever had a coach before, in person or online? Briefly explain.
How many days weekly can you realistically train for and how long each session?
Describe your 3 month goals?
In an ideal world what would you like to have achieved working with me in 3 months?
Rate your current fitness level on a scale of 1-10 where 1 is a struggle to the off the sofa to grab a biscuit, and 10 is feeling like superman’s big brother
Do you spend any time on flexibility or mobility exercises? If so explain briefly.
Why did you chose specifically to apply to my online coaching?
What do you think my coaching will help you achieve?
What is your commitment level on a scale of 1-10 where 1 being “I just want to sit on the couch eat whatever I want” and 10 being “I’ll eat chicken and broccoli all day if that’s what it takes.” No you will not have to eat chicken and broccoli all day.
Are you willing to invest £199 monthly for online coaching so that you can achieve your goals?
Is there anybody else who may be involved in your decision to hire a coach or your desire to stick to a fitness program?
Is there anything else you feel is relevant?
If you are 100% fully committed to doing what is required to get your best possible result hit that Submit Button.

Are You Ready to Go to The Next Level?