Coaching Intake

Coaching Intake & Body Composition Brief

Ten quiet minutes. A real read on your body composition, a fat-loss tier with a weekly target, and a private brief that reaches your coach — not a marketing list.

YOU

First name *Email *Phone Sex *

Age *Height (in) *Weight (lb) *

YOUR GOAL

Goal weight (lb) Target date or event

What have you tried, and what stopped working?

Your single biggest obstacle right now

BODY DATA

What body-composition data do you have?

Enter measurements only. For privacy, this form does not accept reports, lab results, medical files, or progress photos.

TRAINING & ACTIVITY

Daily activity Training access Days per week Experience

NUTRITION

Diet style

Eating consistency: 6/10

RECOVERY & CONTEXT

Avg sleep (hrs) Stress: 5/10 Waist (in) — optional

Optional coaching context only. Do not submit diagnoses, medications, lab results, or other medical records here.

READINESS

Why now? What changes if you finally get this handled?

Readiness: 7/10 If we're a fit, are you in a position to invest in coaching?

I have read the Privacy Notice and consent to Physique Skool using my information to generate this assessment and send the requested coaching brief. I understand the educational and medical limitations.Email me future Physique Skool training and nutrition education. I can unsubscribe anytime. This is optional.

Your information is used for the assessment and coaching request described above. Educational, not medical advice. See the Privacy Notice for data use, service providers, retention, and deletion requests.