Pre-Consult Form

Welcome to DEFINITION. Thank you for placing your trust in me to guide your fitness journey — it’s a responsibility I hold to the highest standard. This is a personalised, high-level coaching experience designed to elevate not only your physique, but your discipline, mindset, and overall lifestyle.

Every detail of your program is tailored with intention, precision, and purpose. My commitment is to deliver a standard of coaching that reflects the level you’re stepping into — one of excellence, accountability, and results.

This form will be used for assessing your needs accurately for online coaching. It will provide me with the information required to tailor a suitable training program specifically for you, and to understand your detailed nutrition, supplement, and activity protocols.

Please answer the applicable questions with as much detail as possible.

All information will be confidential.

Full Name

First NameLast Name

Date of Birth

DayMonthYear

Gender

Email

example@example.com

Instagram Username

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Phone Number

Please enter a valid phone number.Format: (00) 000-000-000.

How did you hear about DEFINITION?

Instagram, TikTok, Word of mouth

What services are you interested in?

Weight

kg

Height

cm

Occupation

Type of employment

How many hours do you work a week?

Describe your fitness activity levels.

How many steps do you average a day?

Do you do any extra curricular activities?

Do you participant in any sports, clubs or hobbies? If yes, please list and mention frequency (how often and how long your sessions are, eg. running club, twice a week, 5km runs, 20 mins each session)

What are your current fitness goals?

Please specify if you chose "OTHER".

What are your long term goals?

Why are these goal(s) important to you?

Please give me as much information about your goals.

Please rate your motivational level to do what it takes for reach your goal.

Timeline for achieving your goal.

Rows	8 WKS	12 WKS	24 WKS	OTHER
NOW

Please specify if you chose "OTHER".

What are some obstacles that you are facing right now which are preventing you from achieving your goals?

What is your training experience?

At what times during the day would you prefer to train?

How many times do you train a week? How long are your workouts?

How long have you been training for?

How many times a week do you plan to train?

Describe your training (current routine, workout split)

You can email me your routine if you'd like to definitionbyjas@gmail.com

What exercises do you enjoy doing and connect well with?

What exercises do you not enjoy performing?

Is there flexibility with your training?

What does success with training and nutrition and fitness look like to you?

Have you trained with a personal trainer before?

Have you had a PT in the past, or worked on these goals before? What were your previous experiences on what went well or what didn’t with this PT?

What are your expectations on me as your coach?

What can I do as your coach to help you achieve your goals?

Do you have any allergies, injuries or health related concerns? And if so, what are they?

Do you smoke, take prescription/recreational drugs or drink alcohol regularly? If so, please explain.

Do you have any muscle, bone or joint pain or soreness that is made worse by particular types of activity? If so, please explain.

How many hours do you sleep a night?

Do you feel stressed?

How are your energy levels throughout the day?

Have you been told you have high blood pressure, high cholesterol, high blood sugar, been pregnant in the last 12 months, or spent time in hospital (including day admission) for any medical condition/illness/injuring during the last 12 months? If so, please explain.

Are you experienced in tracking calories and macronutrients?

Your current diet could be best characterized as:

How many meals do you eat in a day?

Do you eat very similar meals each day or are they varied?

List below your typical daily nutrition plan.

Please include your breakfast, lunch, dinner and snacks that you have throughout the day so I can write up a meal plan for you. Also, mention what foods you enjoy eating so we can include that too! Dieting doesn’t mean you have to say farewell to your favourite foods. :)

Average daily calories (if known) in kcal/kJ.

Include your carbohydrate, protein and fat intake (if known) in grams.

Give me more information on your diet.

How long have you been following this? What was your nutrition like before this plan? Are there any foods you do not eat?

Please list (with approximate dates) any supplements and in particular, medications (including antibiotics) you have used in the last year.

Additional comments.

IT COULD BE ANYTHING! Any other questions or comments you'd wish to mention. Let me know!!!

Thank you for taking the time to fill out the form and trusting me with your fitness journey. If you have any inquiries, please feel free to contact me via email or Instagram!

definitionbyjas@gmail.com / @jacked.jas

All new applications will be reviewed on Friday. Once reviewed, I will contact you to schedule a video call to discuss your application on Saturday or Sunday.

I look forward to working with you! Let's get DEFINED.

Saving the best question for last, when do you wish to start your fitness journey?

PRE-CONSULTATION FORM

Personal information

Measurements

Lifestyle Information

Fitness Goals

Training Questionnaire

Health questionnaire

Nutrition