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Please answer the questions below so that we can get to know you better and offer the best online coaching service possible. After submitting this form you will be contacted immediately.

Name *

E-mail *

Date of Birth *

Gender *
FemaleMale

Country of Residence? *

Country of Origin? *

What kind of music you like to listen to while you workout? *

What's your favorite artist/band? *

If you were a superhero, who would you be? *

What injuries you have at this moment? *

What injuries did you have in the past and for how long? *

What other health conditions do you currently have? *

Do you follow a specific diet? *

Do you have specific dietary restrictions? *

How many days per week do you workout on average? *
I do not workout1 to 2 times per week3 to 4 times per week5 to 7 times per week

How long have you been training consistently, at least 3 times a week on average? *
< 3 months< 3 months to 1 year1 to 2 years> 2 yearsI've never trained consistently and don't workout for >2 years

On a scale of 1 to 10, how would you rate your fitness level? *
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What are your goals for the next 3 months? *

What are your goals for next year? *

How would you like to see yourself in 3 years? *

How did you find us? *
FacebookInstagramInternetE-mailFriend recommendationOther

Have you ever had a personal trainer? In-person or Online? *
In-person Personal trainerOnline Personal trainerI've never had a personal trainer

Why and how do you think we can help you achieve your goals? *

On a scale of 1 to 10, how would you rate your level of determination to pursue your goals? *
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I have read and agreed with the PRIVACY POLICY - THE STRENGTH CLINIC *
Yes

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