Coaching Diagnostic

My personalized coaching starts with deeply understanding you — who you are, what your goals are, and how I can build a program that truly works for you.

⏱ 5-7 minutes

0% completed

Personal Details

Let's get to know you

Full Name *

Email *

Phone Number *

Instagram Handle

Optional — without the @

Date of Birth *

Height (cm) *

Weight (kg) *

Gender *

Male Female

Goals & Motivation

What you want to achieve

Do you train regularly? *

Yes No

How committed are you to investing in this process to reach your goal? *

Not really All in

What's your goal? *

Weight loss / Toning Muscle gain Improved overall appearance Healthy lifestyle Nutritional balance Strength & power Other

What's stopped you from reaching your goal so far? *

I didn't have a structured plan The process felt difficult Lack of consistency Busy schedule Other

Lifestyle

How your daily life looks

Occupation *

Daily activity level *

Not at all Very active

Training

Your training background

Training experience *

How many workouts per week would you like? *

Injuries or limitations (past or present)? *

Yes No

Nutrition

Your relationship with food

Diet type *

Can you track nutritional values in an app? *

Yes No

Body Fat Estimate

Pick the photo that most resembles you — these are visual approximations, not exact measurements

Please select your gender first in the "Personal Details" section

Your current estimated body fat % *

What body fat % would you like to reach? *

Body Photos

Up-to-date photos are essential for the most accurate coaching

After submitting this form, I'll send you a private message with details on how to share your body photos with me — front, side, and back views.

Photos are for my eyes only and kept fully confidential.

Thank you for your time

I will receive all your details, review them carefully, and get back to you personally to continue the process.

✓

Received!

Your form has been successfully submitted. I will review everything and get back to you within 24-48 hours with the next steps — including how to share your body photos with me.