Consultation Form

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Name

First

Last

Date of Birth

Height

Weight (fasted upon waking)

What are your current fitness goals?

Is there a specific goal that’s important to you?

eg. Bigger arms, stronger bench press.

Where would you like to see yourself in 12 months time in relation to your goals?

Do you wish to compete in strength or physique competitions?

What do you do for a living?

Do you participate in any organized sport?

How many hours per week do you work?

What times during the week do you work?

How active are you at your current workplace on a scale of 1-5?

(1=sedentary 5=very active- at times would be classed as exercise eg. Tradespersons)

How would you rate your daily stress levels on a scale of 1-5?

How is your current mental health?

How many hours do you sleep on average?

Are you currently meal prepping for your day(s)? If so please provide what meals you would usually meal prep.

(eg. Chicken and rice x1 per day or x2 per day)

How many meals do you eat per day?

How strict do you take your diet on a sale of 1-5?

(1= just eat with feel 5= tracking/weighing food/macro counting)

Using either an activity tracker or health app what are your weekly steps on average?

If so, How often do you drink alcohol and use recreational drugs?

How would you say your current lifestyle is suited to your goals?

Do you take any supplements to support your training performance? If so please list items, and dosages if relevant.

How many days per week do you train at the gym?

How many years have you been training in the gym?

Do you currently have an injuries or niggles?

Are you following a specific training program?

Are you following a specific nutrition program?

What gym do you currently train at?

Eg, commercial, powerlifting, home gym.

What time of day do you typically train?

How much time can you dedicate to training on a standard day?

Do you perform any cardio?

What is your preferred type of cardio?

Please list 5 foods you love:

Please list 5 exercises you love:

Do you have any food allergies/intolerances:

How willing are you to commit to a lifestyle that will allow you to achieve your goals and why?

What are the main reasons you’ve decided to hire a coach?

Do you understand your current lifestyle habits will need to change to achieve and progress from your desired outcome, this will be uncomfortable in the beginning but will come with a great sense of wellbeing and pride. Are you prepared to work extremely hard in the gym? Are you prepared to dial in your nutrition and count/track food? Are you prepared to make the necessary lifestyle changes that will allow you to achieve the physique you’ve been dreaming of?

Yes
No
Maybe

What is the most suited time for you for a 30 minute zoom consultation where we can meet and further discuss a plan of attack that is suited to your lifestyle?

Eg weekday after work 6:30-7. weekend lunchtime.)

Still Have Questions?

If you have more questions in mind, don’t hesitate to reach out. We’re here to help.

Explore the path to your fitness transformation with Cooper Logan. Get in touch for personalized coaching, nutrition guidance, and support every step of the way. Dream big, start now.

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