Training With Brian — Client Application

Contact details

Full name *

Email *

Phone *

Instagram handle

City & state

Age *

Occupation

Height

Current weight (lb)

Primary goal *

Target timeline

Why now? What made you reach out today? *

Years of training experience

Days per week you can train

Where do you train?

Commercial gym Home gym Minimal / no equipment

Have you worked with a coach before? If so, what happened?

How do you currently eat?

Food allergies or restrictions

Meals eaten out per week

Average sleep (hrs/night)

Typical stress level

Any injuries or physical limitations?

Any medical conditions or medications relevant to training/nutrition?

Cleared by a doctor to exercise, if relevant?

Yes No N/A

What's stopped you from reaching this goal before?

How did you hear about Training With Brian?

How much are you willing to invest into transforming your body and becoming a whole new person? *

Anything else I should know before we talk?

I'll personally review this and follow up within 24-48 hours.

Thanks — I'll go through this personally and reach out within 24-48 hours to let you know next steps.