bjornfit Online Coaching Questionnaire

Thank you for applying making a commitment to yourself and the coaching process. Please complete the questionnaire below to allow me to create a plan for you that is truly unique and specific to your needs.

Once submitted I will be in touch with you to discuss the next steps.

Full Name*

First NameLast Name

Date of Birth*

Address*

Street Address

Street Address Line 2

CityCounty

Post Code

E-mail*

Mobile Phone Number*

Gender*

Weight (kg)*

Height (cm)*

My main goal is*

What do you want, why are you here what’s the result that you're after?*

Imagine we’re having the following conversation 12 months from today and we’re looking back over the previous 12 months. What has to have happened, for you to be happy with your progress?*

On a scale of 1-10, where 10 was what you described above and 1 is ‘life is about as bad as it can get’... where would you rate yourself NOW and WHY? *

How important is it for you to move that number towards 10 and why?*

Who benefits when you move that number towards 10 & reach your desired outcome? *

What could stop you from achieving that, what challenges and obstacles are you likely to encounter? *

Who does it effect negatively if you stay the same as you are now? How?*

Dieting history. What have you tried in the past? What were the positives and negatives of those diets? What stopped you from sticking to the diet? And did you regain any weight lost? *

What do you need from your coach to succeed in achieving your goals and becoming happier in yourself? *

How long have you been lifting weights?*

How long have you been continuously exercising for (without a break of more than 2 weeks)?*

How many times per week are you currently exercising regularly?*

Please describe your current training routine in as much detail as possible, making sure to include weights & cardio sessions.*

Please list your favourite and least favourite exercises and why?

Give details of any injuries, mobility issues or exercises that cause pain discomfort.*

If sports performance is a goal, please give further details regarding your goal and what you would like to achieve in the long term.

Give details of any time specific goals you may have and explain why the time-frame is important.

How many times per week could you train?*

How long could you commit to train for in each session?*

What time do you prefer to train?*

Rate your energy levels during the day*

Please describe your sleep habits in as much detail as possible, including bed & wake up time, quality of sleep, any sleep interruptions etc*

Current occupation*

Daily activity level (excluding exercise)*

Typical working hours shift pattern*

Current Stress Level*

What are the main stressors in your life (work, family etc)?*

Please provide details of any sport you undertake regularly as well as details of matches & training

What hobbies do you have other than sports or exercise?*

Which days are you able to consistently submit your updates (please select all possible days)?*

How often do you shop for food?*

How often do you eat out?*

How often do you eat fast food?*

How often do you drink alcohol?*

Please describe your current food intake and provide your current macro & calorie breakdown (if known)*

Please list any foods that you cannot eat for medical reasons

What are your favourite foods?*

What foods do you dislike?*

My cupboard fridge freezer is full of*

How many hours per week do you have to prepare food?*

Please provide details of any supplements you are taking and the amounts

How supportive do you feel your friends & family will be? What do they think of your goals?*

How supportive are your work colleagues? What challenges will your working environment bring you?*

Are you ready to be open & honest with me as your coach? Are you willing to take action even when you don't feel like it? Are you willing to admit when things don't go to plan so that we can work through it? Are you ready to accept feedback, make changes and do your best to be self aware?

YES!OH YES!HELL YEAH!F8CK YEAH! LET'S DO THIS!

Personal Details

Your goal

Training History

Lifestyle

Nutrition

Social support

Commitment