COACHING APPLICATION

Full Name

IG Account

Email Again

Birthday

Month

Day

Year

City/State OR Country

Height:

Current Weight

Your current macros or calories?

Your current training frequency?

Your current cardio volume?

Please list all prescriptions and the treating condition:

Please list all supplements or vitamins:

Please list all dietary restrictions and if these are preferential, medical or religious in nature:

Please list all relevant medical conditions, injuries or past surgeries:

How often do you eat out or drink socially?

How often do you travel or stay away from home?

How would you describe your current stress level?

How would you describe current sleep habits and quality?

NON COMPETITORS: What are your goals for the next 6-12 months?

NON COMPETITORS: What is your experience and comfort level with weight training?

NON COMPETITORS: What is your experience and comfort level with tracking calories or macros?

NON COMPETITORS: What is your primary reason for hiring a coach at this time?

COMPETITORS ONLY: Is this your first time competing? If not how long has it been since your last prep ended?

COMPETITORS ONLY: What was the date of your last show, show day weight, and placing?

COMPETITORS ONLY: What was the lowest calories and highest cardio of your previous prep?

COMPETITORS ONLY: How soon are you looking to compete again (Please list tentative date, federation and show if possible)?

ALL APPLICANTS: What additional information do you feel would be helpful to your coach which was not already covered by the answers above?

How did you hear about M Peramaki Fitness?

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In submitting this application I agree to all Terms & Conditions