STANDARD COACHING APPLICATION

Full Name

First Name

Last Name

Email Address

Phone Number

Gender

Age

Height

Weight

specify pounds or kilos

Body Fat Percentage

Do you have access to a gym? If not, what do you have access to?

Describe your exercise history as well as your current exercise routine.

Do you have any current or pre-existing injuries? Explain.

Describe your specific goals.

Why are these goals important to you?

Why have you decided to seek out a coach? What are you expecting out of a client-to-coach relationship?

How many days per week can you workout?

What days of the week work best for you to workout?

Are there any events in your schedule that will cause you to travel?

How did you hear about Poehlmann Fitness?

Please provide any additional information you think we need to know.