This form is designed to help Coco's design your plan for you. Please fill it out with as much information as possible.

Phone

First name

Last name

Todays Date

Birthday

Gender

Weight

Height

Fitness Goal

Body Recomposition

Fat Loss

Muscle Gain

Improved Cardiovascular

Physical Activity Level

Sedentary - Little/no exercise - desk job

Lightly active - light exercise 6-7 days per week

Moderately active - moderate exercise 6-7 days per week

Very active - hard exercise every day, or exercising twice per day

Extra Active - hard exercise 2 or more times per day, or training for a marathon/triathlon

Information to help me build your workout program

What training equipment do you have access to? - Full gym? At home? Dumbbells ect.

Talk me through your current training - gym/home, frequency, intensity, exercise selection etc.

Please let me know what exercises/form of exercises you enjoy. (Strength Training? Squats? Cardio? Sports?Walking?)

Are there any Exercises that don't sit well with you? Please let Coco's know.

Which days/time have you set aside to train?

Is there anything else you would like to add?

How did you hear about me?