Coaching Application Open Form Health & Medical Questionnaire Name * First Name Last Name Email * Age Current Weight Height Occupation Do you have any health related issues that I need to be aware of? Do you have any injuries or pass related surgeries? Are you already following a nutritional or workout plan? How many years of experience do you have with working out or weight training? What are your fitness goals? Why do you want to train with me? Why did you decide to reach out for help now? What do you struggle with the most? Thank you! Participation WAIVER Open Form SOCIAL MEDIATALENT RELEASE Open Form