Online Coaching Application

STEP 1 – QUESTIONNAIRE

Start filling out the Getting Started Questionnaire.

Personal Information

First Name *

Last Name *

Email *

(Please be sure to use the SAME email you used to sign up for the online program.)

Age

Gender

Occupation*

Location (City, State, and Country)

training history

Describe your overall training history:

Briefly describe your training over the last 4-6 weeks (if different from above):

Have you worked with an in-person coach / trainer in the past?

Have you worked with a remote/online coach in the past?

If yes to either of the above, why did you stop working with the above coach(es)?

injury history

Do you have any past medical history that may impact your ability to exercise? If so, please explain:

Describe your injury history. Be as specific as possible:

Are you currently suffering from any injuries that may limit your training? If yes, please explain:

Have you been cleared by your doctor to begin an exercise program?

(I recommend you get cleared by your medical doctor prior to initiating any new exercise program.)

goals

What would you say was your primary reason(s) for signing up? You may select more than one answer:

I want to feel and move better

I want to get stronger

I want to lose weight

I want to look better

Describe your fitness goals. What do you want to achieve the most? Be specific:

Why do you want to achieve these goals? What will reaching these goals help you achieve?

What has stopped you from achieving these goals in the past?

ADDITIONAL INFORMATION

How did you find out about ReZenercise online training

How many days per week do you ideally want to train?

How many minutes per day do you typically have to train?

What sort of gym do you work out in?

ie. no access to barbells, dumbbells, kettlebells, TRX, Medicine Balls, Sleds, Ropes, Bikes, Rowers, etc.

What (if any) are the equipment limitations of your gym?

Are you willing to make the time commitment to check in regularly?

Yes

The cost for month-to-month is $180 per month with a required commitment of three months programing.

Are you willing to make the financial commitment?

Yes

Anything else you want us know?

step 2- I'll review your application

Thanks for submitting the application. I will review your application and get in touch with you within 24-72 hours! Once accepted, we’ll set up a time to video chat to go over everything, perform a movement assessment, and get started with your online training.

Thanks for submitting! You will be getting an email confirmation shortly!

STEP 1 – QUESTIONNAIRE

1:1 Online Coaching currently available while spots lasts!

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