Coach Louis' Training Application
First name
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Last name
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Email
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Confirm email
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Occupation
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What do you do for a living?
Were you referred by a current client? If so, who?
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Gender
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Male
Female
Transgender
Prefer Not To Say
Date Of Birth
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MM/DD/YYYY
Age
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Not Shown
30
31
32
33
34
35
36
37
38
39
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65
Height
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In ft. & in.
Current Weight
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In pounds (lbs)
How many years of structured weightlifting experience do you have?
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Less than 1 year
1-4 years
5+ years
This does not include at-home dvd workouts and classes
What is your primary body composition goal?
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Fat Loss
Muscle Gain
Fat Loss = Calorie Deficit/Losing Weight (Body Fat); Muscle Gain = Caloric Surplus/Gaining Weight (Muscle + Minimal Fat)
How active are you outside the gym?
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1
2
3
4
5
6
7
8
9
10
1 - Sedentary -> 10 - Super Active
Have you ever worked with a personal trainer/coach (either in person or online)? If yes, what was your experience?
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Are you following any exercise/training routine, currently?
If 'yes', please tell me about it below
Please list any medications and/or supplements you are currently taking.
*
Are you pregnant or might be pregnant?
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Are there any obstacles that usually prevent you from working out?
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If yes, explain.
Are you already experienced with flexible dieting (IIFYM/tracking macros/calories)?
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Yes
No
Somewhat
This means using apps like MyFitnessPal, MyMacros+, or similar
Do you ever binge-eat?
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If yes, what triggers it? Please explain below
How often do you drink alcohol?
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0-3 drinks
4-8 drinks
8+ drinks
Honest estimate
Do you smoke?
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Yes
No
Sometimes
Do you have any health issues or past injuries we should know about, such as asthma, diabetes, back pain, etc, I should know about?
*
If 'yes', please explain here.
Tell me a bit about you, your experience with training and nutrition and how it's impacted your life whether negatively and/or positively
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What would make this experience the best you ever had?
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