Consultation

Personal Training Online Coaching 4 weeks Online Coaching 8 weeks Online Coaching 12 weeks Hybrid (mixture of personal training and online coaching)

lose fat gain muscle improve definition wedding/holiday preparation get stronger improve posture feel better improve cardio fitness improve eating habits be more athletic improve flexibility other (detail below)

Procrastination Lack of time Lack of motivation Work/travel commitments Lack of exercise/nutrition knowledge Family responsibilities Medical concerns Other (please specify below)

pumped! meh zzzzzzzz

Athlete 3-4 times per week 1-2 times per week Sloth

Early morning Late morning Lunchtime Late afternoon Evening Weekend

Perfection Ok. Could be better Weekend over-indulgence Human bin

No Paleo Ketogenic Intermittent fasting Carnivore Low carb 5:2 Jabba the hut diet Other (please specify below)

No Vegetarian Vegan Pescatarian Halal Kosher Food allergies (please specify below) Food intolerances (please specify below) Other (please specify below)

Never hungry Hungry just before meals Continuously snacking/thinking about snacking Ravenous all day

Never Sometimes Often Regularly

I don't consume alcohol 1 glass 2-3 glasses 4-5 glasses 6 or more glasses

Never Once a month or less Once a week More than once a week Every day

Step aside Nigella Good home cook My specialty is cheese on toast I can burn water

Allergies Hearing Loss Frequent nosebleeds Frequent sinus problems Earaches

Poor night vision Blurred/double vision Glaucoma Cataracts

Epilepsy Convulsions/Seizures Anxiety Depression Mood disorder Memory loss Frequent dizziness/fainting Migraines/frequent headaches Loss of coordination Numbness/tingling extremeties

Bleeding gums Mouth ulcers Tooth decay

Asthma COPD Pneumonia Bronchitis Shortness of breath Chest tightness

Heart attack Heart failure Angina Arrhythmia Cardiomyopathy Heart valve abnormality High blood pressure Fainting or lightheadedness High cholesterol Anaemia Stroke Painful varicose veins Bleeding/bruising easily

Skin cancer Eczema Psoriasis Acne Fungal infections

Insomnia Sleep apnea Restless leg syndrome

Kidney disease Renal failure Urinary tract infection Urination issues

IBS Inflammatory bowel disease/Crohn's/colitis Celiac disease Ulcer GERD/heartburn Frequent indigestion Persistent diarrhea Persistent constipation Frequent nausea Abdominal pain Blood in stool Frequent bloating/gas Hernia

Hepatitis Liver disease Elevated liver enzyme test

Diabetes Blood sugar management issues Cushing's disease Thyroid conditions Low/high cortisol Sex hormone imbalance

Osteoarthritis Carpal tunnel syndrome Spine issues Tendonitis

Rheumatoid arthritis Ankylosing spondylitis Lupus Multiple Sclerosis Gullain-Barre syndrome Hashimoto's thryroiditis Graves disease Chronic fatigue syndrome Gout

Cancer Disordered eating

Prostatitis Low testosterone Sexual function issues

Pregnant Trying to conceive Breastfeeding PCOS Infertility Endometriosis Painful menstruation Irregular menstruation PMS Sexual function issues Hot flashes/night sweats Post Partum (up to 1 year) Peri-menopausal Menopausal

10 hours or more 7-9 hours 4-6 hours 3 hours or less

Excellent - sleep like a baby! Average - wake once or twice Poor - wake frequently, restless

Ommmmmmm...... Low - depends on seasonal work schedule Moderate - regularly feel overwhelmed Ahhhhhhhhhhhh!!!

Yes I'm already a member I'm not a member but I'm potentially looking for a gym to join I just want personal training without a gym membership

High Priority - I'm fully dedicated to make big improvements to my life immediately Medium Priority - Getting in shape is really important but it needs to fit around my life Low Priority - Meh. I'd rather dream about being fit than do anything about it

🔥 Lose fat and see some muscle definition

🍑 A Jennifer Lopez booty

💪🏼 Build muscle and look like Brad Pitt in Troy

🩱 Feel confident wearing any clothes I want

🏋🏽 Get stronger and remain physically independent

⚡️ Feel energetic and bounce out of bed

🧠 Learn how to exercise efficiently and optimise my diet

👰🏻‍♀️ Look and feel amazing on my wedding day

🦸🏻‍♂️ Be an athletic parent and set a good example to my kids

Procrastination I'm lazy! Lack of time Lack of nutrition/exercise knowledge Work/travel/family commitments Medical concerns None of the above

Yes - I understand the importance of investing now in my future health and wellbeing Perhaps - I'm ready to invest in myself but I would like more information No - I don't have the funds right now

I accept the terms of service and understand the privacy policy

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