Contact | rpb-coaching

Free Consultation

Starting your journey towards a fitter, stronger and healthier you can be overwhelming.
Why not fill out our free consultation form and we will get back to you asap with a personalised plan proposal.
Alternatively, feel free to email us at phil@rpb-coaching.com

Name *

Email address *

Age *

Height *

Weight *

Waist Measurement (mm) *

Job/Activity Level *

Daily Step Count *

Training Frequency (x per week) *

Current Diet Breakdown (Please include as much information here as possible including no. meals per day, calorie, and macro breakdown if you know what it is, types of meals you generally eat, favorite foods, supplements taken, general eating habits, drink *

How would you describe yourself now in terms of bodyfat, muscle, bodyshape? *

What is it you want to achieve in the longer term, so up to one year ahead? Is there something in the future you're planning towards like getting in best shape for a holiday? Give us an idea of how you would like to see yourself in a years' time *

What do you feel is the first change you want to see or make happen? *

What are your expectations in terms of what you would like me to help you with? *

Have you ever been diagnosed with any medical conditions or serious illnesses? If yes, please provide details: *

Are you currently taking any medications? If yes, please list them: *

Have you ever had any surgeries? If yes, please provide details. *

Do you have any allergies or sensitivities (food, environment, etc.)? If yes, please specify: *

On average, how many hours of sleep do you get per night? *

How would you rate your stress level on a scale of 1 to 10 (1 being very low, 10 being very high)? *

Have you been advised by a healthcare professional to refrain from certain types of exercises? *

Yes
No

Are you pregnant or trying to become pregnant? *

Yes
No

Have you ever experienced any exercise-related injuries in the past? If yes, please describe: *

Do you currently have any physical limitations or injuries that may affect your ability to exercise? If yes, please provide details: *

Is there any other information you believe is important for us to know before starting your personal fitness journey? *

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