Online coaching

First Name

Last Name

Profession

Email Address

Phone No.

Date Of Birth

Gender
Male
Female
Other

Address

What is your weight ?

What is your size ?

Are you a smoker ?
Yes
No

Do you drink alcohol ? If yes, how often and in what quantities?

What do you think your current physical condition is ?
Very good
Well
Average
Poor

How do you rate your current energy level on a scale of 1 to 10 (1 being very tired and 10 in great shape all the time) ?

How do you rate the quality of your sleep on a scale of 1 to 10 (1 being very bad and 10 being very good sleep) ?

How do you assess your stress level on a scale of 1 to 10 (1 being least stressed and 10 being most stressed) ?

Do you take medication ? If yes, which ones ?

What type of physical activity do you do ? (Weight training, Cardio, Classes collective... Please specify as best as possible)

How often do you participate in sports ? Separate the cardio and the bodybuilding and specify for both (in hours per day and per week)

Do you plan to train intensively ? (for example with loads that seem heavy, you push yourself to always do better etc.)

What time of day do you usually train ?

How long is a training session for you ?

Do you have notions in nutrition? Please specify which ones

Have you ever counted your daily calorie intake? If yes, how many kcal / day are you right now ?

In general, what do you eat more easily in your days ?
A. Bread, cereals, pasta, fruit etc.
B. Oilseeds (nuts, hazelnuts, cashews, etc.), butter, avocado,chocolate, cheese etc.

Describe a typical day on your plate in a precise and exhaustive manner(food and quantities in g and ml if possible):

Breakfast :

Do you have food :

Lunch :

Afternoon snack (s) :

Dinner :

Evening snack :

What are your goals ? Specify as best as possible (weight loss,weight gain, how many kilos per example, which part of the body would you most like to change, tone etc.)

When would you like to achieve these goals ?

Remarks (physical problems not mentioned more high, pain, special diet for nutrition follow-ups,other…)

1. The client mentioned above certifies having the physical conditions necessary for follow the training led by his sports coach. The latter not being responsible possible damage caused by his act of service.

2. This contract, although moral, may be used in the event of any dispute.

3. No session, once booked, can be canceled. This will be moved to the week (depending on the availability of the sports coach) or it will be considered due.

4. The postponement of a session must be made at least 24 hours in advance. Otherwise, it will be considered due.

6. Full coaching : The amount of a coaching session is 130.- CHF per hour, or more depending on the possible travel of the coach. Advantageous packs are available: 1250.-CHF for 10 sessions and 2900CHF for 24 sessions at No Limit Gym in Lausanne. or at TotUp Fitness in Petit-Lancy. These two packs also include an entry report, a monthly follow-up report and, if requested by the client - the client, a possible program to follow in the classroom. They can also contain the definition of macronutrients according to demand.

7. Follow-up ± coaching : the amount of a personalized program amounts to 750.- CHF and - of the client for 3 months (90 days) from the date of signature of this contract and private coaching per month (3 in total). The cost of each additional month of follow-up (30 days) is 200.- CHF.

8. Nutritional or sports monitoring only : the amount of a personalized program amounts to 300. CHF and includes the creation of said program (macros), as well as nutritional monitoring or in the client's room - of the client for 3 months (90 days) from the date of signature of this contract. The follow-up costs 400.- CHF if the client wishes a start and end check-up with physical appointment (2 in total).

9. Personalized program : the amount of a personalized program (or sport, or nutrition) amounts to 150.- CHF and includes only the creation of said program according to the information collected via this form.

10. Remote tracking : the amount of a personalized program amounts to 450.- CHF and includes the creation of said program, as well as nutritional and fitness monitoring by email of the client - of the client, for 3 months (90 days) from the date of signature of this contract. The cost of each additional follow-up month (30 days) then amounts to 150.- CHF.

11. The client-The client, by signing this form, certifies having read the conditions and undertakes to comply with them.

12. The client-The client must apply the advice of her coach and commit to a healthy lifestyle in order to obtain the expected results. Physical and sports results are not guaranteed by the sports coach.

I agree to the above Terms & Conditions