Men’s Group Coaching Application Men's Group Coaching - 3mo Academy Basic Personal Info First and Last Name * Use the first name you prefer us to call you! Email Address * Make sure this is your best email. This is where we will contact you if selected, as well as where we will invite you to the apps needed. Setting You Up for Success In NF Coaching, you'll not only use apps to track your training and nutrition, you'll also provide movement videos to your Coach so he can help evaluate and improve form. Do you have a smart phone with a reliable video camera? * Yes, and I feel very comfortable taking video and sharing media Yes, but I may need some guidance about how to use and share media I don't have a smart phone Are you currently working with a trainer or coach? Yes No If you are currently working with a trainer or coach, why do you want to switch to Nerd Fitness Coaching? What are your health and fitness goals? These can be short or long term, and will help us match you up with the right Coach! We require a minimum commitment of 3 months from all NF Coaching students. Are you prepared to give us your best for those 3 months? I trust you guys. I'm all in and ready to go. I'm not sure if this will be the right fit for 3 months. I'd rather only commit to a month to see if I like it. I don't think I'm ready for a commitment of this type. After the first 3 months, you can choose whether to continue with NF Coaching on a month to month basis. Physical Activity Readiness Has your doctor ever said that you have a heart condition and/or that you should only perform physical activity recommended by a doctor? * Yes No Do you feel pain in your chest when you perform physical activity? * Yes No In the past month, have you had chest pain when you were not performing any physical activity? * Yes No Do you have a bone or joint problem that could be made worse by a change in your physical activity? * Yes No Is your doctor currently prescribing any medication for your blood pressure or for a heart condition? * Yes No Do you lose your balance because of dizziness or do you ever lose consciousness? * Yes No Any past or present injuries or surgeries? * Yes No Are you aware of any other physical reason against your exercising without medical supervision? * Yes No If you answered 'Yes' to any question above, please use this space to provide more information. Any other information you'd like us to know?
