Individualized Coaching Form

What is your level of exercise ability?

Beginner (off and on exerciser, but no specific training)

Intermediate (consistently have exercised for 3+ years)

Advanced (body builder, competitor, etc)

Are you able to do squats and lunges?

Yes

No

Are you able to do high impact movements?

Yes

No

Depends on the move

How often do you currently workout?

Occasionally, I am not consistent

1-2 times a week

3-4 times a week

5-6+ times a week

How long is an average workout length?

20-30 Minutes or less

30-40 Minutes

40-60 Minutes

60+ Minutes

No Consistency in this

What is your average workout intensity?

Low Intensity (I can talk through the workout)

Medium Intensity (I break a sweat and push myself)

High Intensity (my heart rate is elevated and I cannot hold a conversation)

Considering all of the above, how often can you effectively handle exercising per week?

1-2 times per week

2-3 times per week

3-4 times per week

4+ times per week

What would your number 1 goal be?

Lose fat

Build muscle

Improve my diet

Improve my lifestyle

Be more confident

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