CONTACT US

Coaching

Below is a form to apply for one of my coaching programs. Why is there an application form? Well, truth is, we may not be a great fit for each other which is totally ok.

This form will help me get an understanding of whether or not we are a good match. If we are, you’ll hear back from me within 24 hours. If not you’ll still hear from me.

Fill out below in as much detail as possible so I can help get you started.

– Coach D

Quiktrain online training questionnaire

First Name *

Last Name *

Your Phone Number

Your Email *

Date of Birth *

Biological Gender *

Height *

Are you working through any illness or injury at present? *

If yes, please describe the illness or injury

Who is your most beloved bad assed public figure or celebrity? What do you love about them? *

Have you ever paid for an online fitness or nutrition coach before? *

If yes, who was it? Please describe your experience

What are some of your short term, specific fitness goals? *
Something you'd like to accomplish over the next 12 - 16 weeks? For example: Lose 10 lbs, fit into your wedding dress, squat your body weight etc... Remember, BE SPECIFIC!

What kind of gym do you have access to? *

What are some of your favourite exercises?

Do you have any dietary restrictions? *

What are some of your favourite foods?

Are you currently training more than 2x per week? (average over the last 3 months) *

Tell me a little about your training routine, or the last one you did

How did you find out about QuikTrain Online Fitness Coaching? *

What makes you want to work with QuikTrain Online Fitness Coaching?

On a scale of 1 - 10 how committed are you to working your ass off for a minimum 16 weeks to achieve your goal?
1 2 3 4 5 6 7 8 9 10