Katana Coaching

A. Personal Information

1. Full Name ?

A. Personal Information

2. Age ?

A. Personal Information

3. Occupation ?

A. Personal Information

4. Instagram Handle ?

A. Personal Information

5. Country & Time Zone ?

A. Personal Information

6. Email Address ?

B. Fitness & Lifestyle Goals

7. What is your first goal right now and why is it important to you?

B. Fitness & Lifestyle Goals

8. Why do you want to start now?

B. Fitness & Lifestyle Goals

9. What have you tried before to achieve this goal? What happened?

B. Fitness & Lifestyle Goals

10. Do you go to the gym, train at home, or not training yet?

Gym Home Not training yet

B. Fitness & Lifestyle Goals

11. How many days a week do you train currently ?

I haven’t started yet 1–2 days 3–4 days 5–6 days

B. Fitness & Lifestyle Goals

12. How do you rate your current diet? (Scale 1–10)

C. Commitment & Mindset

13. Are you willing to invest time, effort, and resources for a minimum of 3 months to change your life?

C. Commitment & Mindset

14. Are you coachable and open to feedback?

C. Commitment & Mindset

15. On a scale of 1–10, how serious are you about changing?

C. Commitment & Mindset

16. Which best describes you ?

I’m ready to start now I’m just exploring

C. Commitment & Mindset

17. What’s the biggest struggle that’s been holding you back?

C. Commitment & Mindset

18. Are you willing to:

Lose Weight Maintain Weight Gain Weight

D. Coaching Style & Health Info

19. What result would make this program a success for you?

D. Coaching Style & Health Info

20. Do you prefer intense push or supportive guidance?

Intense Push Supportive Guidance

D. Coaching Style & Health Info

21. Do you have any injuries or health conditions I should know about?

D. Coaching Style & Health Info

22. Do you have any allergies?