Event Rider Fitness Consultation

Application Form
Please take the time to fill in this form as best as you can so I can see if you’d be a good fit for the programme. The more information the better.

If not, I can put you in the right direction to move forward.

If I feel you're the right fit for the programme then we will book a call in & I look forward to meeting you soon!

First Name *

Last Name *

Email *

Phone *

Date of birth *

If we were to work together what would your dream 6-month riding goal be? *

What are the top 3 obstacles you struggle with in your riding that could stop you from achieving that goal? *

If we were to work together what would your dream 6-month personal goal be? *

What do you feel are the 3 biggest obstacles stopping you from achieving that goal? *

How physically active is your day job? 1 for completely sedentary, 5 extremely physically active *

What are your 3 biggest obstacles when it comes to achieving a balanced diet? *

Past injuries, operations, fractures, broken bones, medical conditions. Please disclose all past and current injuries & issues however minor or major they may have been *

On a scale of 1-10 how committed are you to improving & investing in your health & fitness and achieving your goals?

1-Not Bothered 10- Extremely committed, I want to go now *

Can you explain why NOW is the time to hire me as your coach & get started? *

Do you need to get permission from your doctor before starting a new fitness programme? *

Are you willing to financially invest to reach your health & fitness goals? *

Yes

Application FormPlease take the time to fill in this form as best as you can so I can see if you’d be a good fit for the programme. The more information the better.

Application Form
Please take the time to fill in this form as best as you can so I can see if you’d be a good fit for the programme. The more information the better.