Get Started – Carina Chirila Fitness

This is an application form for my coaching services. I'm looking to work exclusively with clients who are ready to change, ready to be coachable and want to discover the sustainable way to become the best version of themselves. If you have a strong desire to be a better you and now is the time for you to make a change, please apply below!

First Name*

Last Name*

Phone*

Email*

Instagram Handle*

Which coaching service(s) are you interested in?*

Online Coaching
1-on-1 Personal Training (GC Locals only)
Semi-Private Personal Training (GC Locals only)
Workplace Wellness Program

Please check all that you feel might be suited for you if unsure

1. Please describe the goal you're looking to achieve. Why is this important to you?*

2. Have you had a personal trainer or online coach before?*

Yes - Face-to-Face PT
Yes- Online Coach
Both F2F & Online
No - Neither

4. How long have you been weight training?*

5. What methods have you tried in the past to reach your goals? (eg. F45, Lite N Easy, Weight Watchers, Boxing, Strength Training etc)*

6. Have you ever been diagnosed with an eating disorder?*

Yes
No

7. What is your occupation and how active is your job? (ie. lawyer- sedentary all day)*

8. On a scale of 1-10, 1 being not at all confident and 10 being very confident, how confident do you feel with your technique on the following:

Machines*

Free Weights*

The Big 4 Lifts*

(Squat, Bench, Deadlift, Hip Thrust)

9. How confident do you feel going to the gym in general?*

10. What do you feel you need the most support with to achieve your goals? Select all that apply. Don't select the options you already feel comfortable with currently.*

11. Are you currently monitoring your food intake in any way?*

12. How do you feel about your progress over the last 6-12 months?*

13. How much money are you currently spending a week on things that are detrimental to your goals? (ie. excessive meals out & uber eats, alcohol, cigarettes)*

14. Are you ready to implement some structure around your training & nutrition with a coach in your corner to accelerate your results? Why is NOW the right time for you?*

15. Are you prepared to be open to trying new approaches, be coachable, and commit to the sustainable method of achieving your goals?*

16. Why do you think I'd be a good fit as your coach?*

Thank you for taking the time to apply! We'll contact you to organise a chat within 48hours, how would you prefer to be contacted?

Phone Call
Instagram
Email
No preference

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