Consultation Questionnaire

Thank you for your interest - fill out the following form to get started!

Step 1/7

Let's get to know you!

Date of birth
Gender
Step 2/7

Work

What do you do for a living?
Rate your current daily activity level:
Step 3/7

Current training

Where do you train?
How many gym sessions are you performing each week?
Please note any other exercise outside of the gym:
Step 4/7

Current diet

Are you currently counting calories? If so note how many calories you are currently on:
Do you follow any special diets or have any food allergies?
Step 5/7

General health

Do you have any health conditions or injuries?
Are you currently taking any medications or supplements?
Do heart conditions or diseases run in the family?
Do you smoke cigarettes?
Step 6/7

Your goals

How many training sessions can you commit to per week?
Please note the goals you would like to achieve whilst on the SammyShreds program:
What's your timeline to achieve these goals?
Step 7/7

Your expectations

Pick your preferred coaching plan:
What are your expectations of your coach:
How motivated are you?

Done!

Thank you for your information. Please select your preferred time for a consultation:
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Client testimonial image for Sarah
“Sam is very open and welcoming. I find that he tailors his approach/delivery to each individual.”
Sarah E
Client testimonial image for Alex
“Sam taught me that there were no ‘good’ or ‘bad’ foods, and helped me create an amazing relationship with the gym.”
Alex W