Oliver Jahelka
Certified Personal Trainer
90 Day Plan
Private Sessions
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Nutritional Coaching
Welcome to Oliver Jahelka Fitness and our personal coaching screening! We’re excited to help you embark on your health journey. Please take a moment to fill out this simple questionnaire. Following this initial pre-screening, we will arrange a call to conduct a brief complimentary consultation.
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Name
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First
Last
Age
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Gender
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Email
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Email
Confirm Email
How did you hear about our online coaching services?
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What is your occupation?
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Do you have any existing medical conditions?
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Please specify.
What is your current fitness level?
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(Beginner, Intermediate, Advanced)
How would you describe your daily activity level?
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(sedentary, moderately active, very active)
Are you currently participating in any regular physical activity or exercise?
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I work out consistently
I work out occasionally
I’m struggling
What is your typical daily schedule like?
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(work hours, sleep hours, etc.)
How would you describe your current eating habits?
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Do you have any food allergies?
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Please be specific ( meat, dairy, fruits, nuts, seeds etc)
Do you have time to cook? Are you willing to prep your meals?
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How much alcohol do you consume on a daily, weekly basis?
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Please be honest when answering these questions asit will help us create a more detailed program.
Have you worked with a personal coach before?
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If yes, please share your experience.
Are you willing to invest in yourself to reach your goals and improve your health?
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Yes
No
In the next 90 days, what results would you like to see?
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Please be specific – weight, body fat percentage, muscle mass etc.
What is keeping you from reaching your goal?
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Time
Nutrition
Money
I don’t know where to start
What would prevent you from financially investing into your health and fitness goals?
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I have to talk to my spouse first
Price, but I’m willing to work with financial options
Sign me up! I’m willing to do whatever it takes, I’m tired of feeling this way
I don’t have any money
Submit