Your consultation

Hi,

This form is for me to asses your initial needs, goals and currents stats in order to build your training phases.

Please complete the form in its entirety, be as detailed as possible and include anything you believe is important for me to know about.

Thanks,
Kjartan

Consultation

First Name

Last Name

Date of birth

Gender

Phone

Height

Current weight

Hobbies and interests

Profession and average weekly working hours

For example, 40 per week, 9-5

What are your goals?

Please list at least 5 things you would like to get out of coaching with me. Please give as much detail as possible.

Have you attempted to reach these goals before?

If so, what kept you from reaching them, or what made you revert? If not, what has prompted you to start now?

What did you do in the past towards reaching these goals?

What do you feel worked well? What did you feel didn't work well? Which parts of it did you like or not like?

What does achieving these goals mean to you?

For example, a boost in confidence and improved self-perception.

How will you feel when you achieve these goals?

On a scale of 1 to 10, how highly are you willing / able to commit to achieving these goals?

10 being it is your foremost priority and you are willing to make significant sacrifices and dedicate a large amount of time and focus to it. 1 being it is not something you are willing to put a large amount of time or focus into. There is no right or wrong answer to this. If your career or family take a higher priority, it is okay to put a lower number on this scale.

Which factors will take a higher priority over achieving these goals?

This can be anything; family, job, hobbies, etc.

How many times per week are you willing to train?

Exercise history

What kind of exercise have you done in the past? What did you like? What didn't you like?

Have you worked with a coach before?

Yes

If you have worked with a coach before, how did it go?

Do you have any injuries or conditions you feel will affect your training?

When it comes to eating, what does a day in your life usually involve?

Please include all meals, drinks and snacks. Please do not omit anything.

List 10 foods you love and 10 foods you hate

How often do you consume sugary soft drinks?

How often do you consume alcohol?

Are there any foods you love which you consider to be 'vices'?

Do you smoke?

Yes

If you smoke, how often?

How much sleep do you usually get per night? And is it uninterrupted?

How energised do you usually feel during the day?

When do you usually get up?

How often do you go outside each day?

How much do you walk each day?

How do you usually travel?

Car, bus, walking etc

How much do you move at work?

Are you able to take constructive criticism and feedback?

Are you able to stick to a plan?

Are you prepared to do your best towards achieving these goals?

Tell me more about yourself

Hobbies, interests, anything that will affect your training, Any reasons behind wanting to work with a coach, any reason behind wanting to work with THIS coach. Include anything you want to share.

How did you find out about me?