Questionnaire for Online Coaching

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Health & fitness questionnaire

Step 1 of 8

12%

Personal details

Name

First Last

Address

Street Address City County Postcode

Phone & email

Phone

Email(Required)

Date of birth

DD slash MM slash YYYY

Hidden

Age

Training history

Where / doing what / how many sessions?

Have you taken part in sporting activities in the last two years?(Required)

Yes

No

Please tell us which activities (tick all that apply)(Required)

Group fitness classes

Team sports

Member of a gym

Resistance training

Competitive sports

Athletics / running

How active are you in a typical week?(Required)

Sedentary — desk job and little to no exercise

Lightly Active — light exercise/sports 1–3 days/week

Moderately Active — moderate exercise/sports 3–5 days/week

⁠Very Active — hard exercise/sports 6–7 days/week

⁠Extremely Active — hard daily exercise/sports and physical job or training

If you know (or can estimate) what are your typical daily steps?(Required)

Are you currently a member of a gym?

Yes

No

What's your favourite type of workout? (tick all that apply)

Cardio based

Weight / resistance training

Group fitness classes

Swimming

Running

Spinning

Dance workouts

HIIT workouts

None

Dieting history

What diets have you tried in the past? (tick all that apply)

WW

Slimming World

Keto

Low carb

Meal replacement

Team RH

Juice

Soup diet

Huel

Did any of them work?

Yes

No

Injury / health history

Do you have any health issues or injuries which might prevent you from walking or resistance training?(Required)

Yes

No

Other

Do you have any gym equipment at home?(Required)

Cardio machines

Gym mat

Resistance bands

Skipping rope

Step

Weights

None

Measurements

Your waist (the smallest part, in cm)

Your hips (the widest part, including your bum, in cm)

Your thigh circumference (in cm)

Your chest circumference (around your boobs, in cm)

Your weight (kg)(Required)

Your height (m)(Required)

Please enter a number from 1 to 3.

Photos

If you’d like to see your progress using photos, please take some photos in gymwear from the front, side and back. (If you don't want to, that's fine. If you want to share these with me that’s fine, if not, keep them for yourself!)

Photo upload

Drop files here or

Max. file size: 16 MB.

Main goals

In your own words, please tell me your main goals

In the box above, tell me what you are trying to achieve in a few sentences. If you are aiming to feel your best for a certain event, or aiming to complete a sporting event, or just a generic confidence goal, let me know what that is here and what dates you are aiming for.

Anything else?

Anything else I should know?

For example: Allergies / food intolerances / doctors advice / illnesses /history, etc

How did you first come across Kaye Louise Fitness?

Advert

At a gym

At a gym class

Facebook

Google

Instagram

Referred by a friend

Website