Intake form

Before you begin…

To help you as effectively as possible, I ask you to answer a few targeted questions below. The more information you provide, the more personalized I can make your plan.

However, never feel obligated to fill in everything. If a question feels uncomfortable or you’re not sure yet, feel free to skip it.

The fields at the top are required (general information); the rest is optional.

First name

Surname

E-mail

General info

Age:

Weight:

Length:

Occupation – physically active or sedentary?

What foods do you absolutely dislike?

Do you have any allergies?

How many days per week can you train?

Do you have any injuries or points of attention that I should take into account?

Mindset & Environment

You are not here by chance. You want to change something. Improve something. Now the question is: what exactly? What is your goal? And what do you expect from me as a coach?

How do you see yourself? Are you happy or unhappy when you look in the mirror?

Do you have mental goals that you want to achieve through fitness (more self-confidence, less stress, inner peace, ...)?

Are you supported by people around you?

Are you an introvert or an extrovert?

Do you prefer to train discreetly, without many people around you?

Personal development

What does this step mean to you? Is it an obligation or are you doing this because you really want to be happier?

Do you have a history with sports? Do you like sports?

Are you a go-getter, or do you struggle to persevere on bad days?

What is your physical goal? What do you hope to achieve with my coaching?

Which part of your body bothers you the most and would you most like to change?

What is a strong point of yours? (Doesn’t have to be physical – e.g. being able to cook well, being able to handle stress, …)

Do you find it difficult to maintain a routine or set schedule?

Do you still have questions?
Or would you rather first have a live chat with me about your situation?
📞 Book your free intake interview now.
During this conversation we will discuss whether coaching is something for you and how we can achieve your goals.

Book a free intake

Intake form

General info

Mindset & Environment

Personal development

Do you still have questions? Or would you rather first have a live chat with me about your situation? 📞 Book your free intake interview now. During this conversation we will discuss whether coaching is something for you and how we can achieve your goals.

Do you still have questions?
Or would you rather first have a live chat with me about your situation?
📞 Book your free intake interview now.
During this conversation we will discuss whether coaching is something for you and how we can achieve your goals.