Name * First Name Last Name Whatsapp Number: * Email * Name & Number of Emergency Contact * Do you have any of the following health conditions that I should be aware of? Select all of the ones that apply.. * Diabetes Heart disease Heart or chest pain High or low blood pressure Pregnant or given birth in the last 6 months Dizziness or fainting Other None Do you have any current or previous injuries? * Yes No Do you take any regular medication? * Yes No Have you had any surgery within the last 6 months? * Yes No If you have answered YES to any of the above questions or have any health conditions, please provide full information below... * Weight in KG (first thing in morning, no clothes on) * Height in inches * Age * Current activity levels * Little or no exercise weekly 1-3 days exercise weekly 3-5 days exercise weekly 6-7 days exercise weekly Extra active (includes an active job) Current average daily steps over the past week (exact number from your health app on your phone) * If you train already, what does your current training look like? * How many times a week can you realistically commit to training? * Tell me your goal in as much detail as you can * Where do you see yourself in 6 months, mentally & physically? * Do you have any experience tracking food? * Yes No Tell me more information on the above question. Do you track everyday, how long have you been tracking for, what app do you use, how many calories are you currently eating, are you tracking macros? * What are your current nutrition habits? * What do you struggle with the most? * Is there any specific movement/exercise that you LOVE or DISLIKE? * What is your occupation? * What is your lifestyle and habits like? Please include what you like to do in your spare time, smoking/drinking/water intake/stress levels/sleeping pattern * Are you able to fully commit yourself to the next 6 months to work towards your goals? * Yes No Do you consent for me to use your progress pictures on my socials? (I will always chat with your prior to make sure you're comfortable with what I am putting out, if you want your face in the post or not/want to be mentioned etc) * Yes, happy for you to use my pictures No, I don't want you to use pictures Do you have any questions for me? * Thank you! Please complete this consultation with honesty and with as much information as you can.All data collected will be kept private and confidential.
