Sheena Giordano

Certified Fitness Trainer

Coaching Application

Unlock Your Potential: A Step-by-Step Questionnaire to Begin Your Transformation Journey with Sheena G

First Name *

Last Name *

Phone *

Email *

Instagram Username

So where did you find me? *

How Long Have You Been Following Me? *

Less Than 6 Months

6 Months to 1 Year

More Than 1 Year

What does your current fitness routine consist of (days per week, exercises you do, intensity etc.)? *

In a year from now, what does your dream body look like (please be specific, such as weight, body fat percentage, etc.)?

What roadblocks have been stopping you from achieving your dream body?

How much progress towards your fitness goals have you made in the last month?

Do you have a personal trainer or are following a specific program you found/bought? If so, please tell us what the program is or what your trainer has you do.

How is your fitness progress going?

Poorly (zero to little progress)

Struggling (some progress, but not as fast as you like)

Successful (good progress, just looking to sustain it)

Could you handle the additional attention you'd get from friends as well as the opposite sex from making such fast progress?

Yes

No

Maybe

If you could begin making fast progress towards your fitness goals, would you be interested? *

Yes

No

Maybe

What kind of support are you looking for right now?

I want a DIY Solution (Money’s very tight and I’d rather learn and do it by myself)

I want a Done with Me Solution (Do the work myself with specific coaching on what to fix)

I want a Hands On Solution (Money's not an issue for you. Want 1on1 done with you coaching)

Please list any current aches or pains.

Please list current chronic conditions (heart disease, high blood process, diabetes, high cholesterol, etc.) or any predispositions.

Please describe any current or prior injuries.

Please detail what activities you really enjoy (running, spinning/biking, swimming, weight training, etc).

Describe your ideal coaching style in 10 words or less.

Please describe any food intolerances, preferences or sensitives (i.e. gluten intolerance, lactose, vegetarian etc.)

Sheena Giordano

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