Client Onboarding

Name

This field is for validation purposes and should be left unchanged.

About you

Name(Required)

First Last

Todays Date(Required)

Age:(Required)

D.O.B(Required)

Height(Required)

Weight(Required)

Morning weight, before eating or drinking

Waist Measurement (cm)(Required)

Upper Arm Measurement (cm)(Required)

Thigh Measurement (cm)(Required)

Chest Measurement (cm)(Required)

Shoulder Measurement (cm)(Required)

Hip Measurement (cm)(Required)

(Widest part of your bum)

Your Diet & Nutrition

Allergies/Intolerances(Required)

Likes(Required)

Dislikes(Required)

Favourite Foods(Required)

Current Diet(Required)

Please outline a typical day of eating currently with amounts/measurements if you weigh foods - No judgement I promise)

Successful methods of dieting previously(Required)

How you prefer to eat e.g have you tried fasting, do you feel better on high/ low carbs, clean eating vs fitting ‘treat’ foods into your macros etc.

Training History

Please explain your recent activity levels in the past month:(Required)

What is your current training split? How many days per week?(Required)

Example: Legs, Arms, Chest etc. OR push, pull OR full body training

Will you be doing hybrid training, a mixture of functional fitness/cardio/strength training?(Required)

Yes

Are you currently doing any cardio? How often and what type?(Required)

Example: HIIT or LISS

What access do you have to gym equipment currently?(Required)

Are you open to purchasing additional equipment?(Required)

What time of the day do you generally train?(Required)

Please be as clear as possible so I can tailor the diet around your training time

What activities/exercise you enjoy?(Required)

What time of the day do you wake up?(Required)

What time of the day do you go to bed?(Required)

How is your sleep?(Required)

Your Goals

What would you like to achieve with me?(Required)

What can I do to help you achieve your goals?(Required)

What will success look like to you?(Required)

Existing Medical Conditions

Please state if you have current or past medical conditions that could affect your ability to exercise(Required)

Please state any herbal or prescription medications you have previously or currently are taking-(Required)

Please note: It is your responsibility to seek medical guidance with any medication or medical condition and it is entirely your own responsibility to seek medical attention before commencing guidance from myself.

Photos

Please include a current photograph of yourself so I can see your current condition (this is necessary for my insurance cover)

Drop files here or

Max. file size: 128 MB.

Please include a picture of the look you are trying to achieve.

Drop files here or

Max. file size: 128 MB.

Payment Details

Please ensure that payment is sent across in full, for the agreed package length. If you are paying a deposit to hold a space, this is deductible from the total cost.

Payment is available through: Stripe I can send the link Or Use bank transfer (please screenshot when sent) Account Holder Name : DARRAGH CLANCY Bank Name : Mashreq Bank Dubai Swift/bic BOMLAEADXXX Account Number: 019100766422 IBAN Number: AE800330000019100766422 Currency: AED

I can be contacted at any time through whats app and will be back to you ASAP but I will leave it to you to contact me as some people don’t want to be bothered and just check in. Your plan starts when you have your first check in! If there is a delay please let me know :) I can help you as much or as little as you want but never be afraid to text about anything! Disclaimer: I am not a registered dietician and this is only advice on what I think works best for my clients! It’s your duty to read the disclaimer and also understand that once a plan is started and received there are no refunds as everything is processed at that time!

DISCLAIMER

By checking the boxes below, you are acknowledging you understand, and agree to abide by the terms and conditions, and therefore relieve Coach Clancy from any liability.