Coaching Application

Let's Build Your Plan.

Complete this form so XJ Fit can understand your goals, experience, schedule, health considerations, and the level of coaching you need.

01 · About You

First name *

Last name *

Email *

Phone *

Date of birth *

Time zone

City

State *

Emergency contact

Emergency contact phone

02 · Goals and Motivation

Main goal *

Target date

What do you want to accomplish? *

Why is this important to you now?

Coaching service *

How did you hear about XJ Fit?

03 · Training Background

Training experience *

Where will you train? *

Days available per week *

Preferred session length

What does your current training or activity look like?

What equipment do you have access to?

04 · Health and Readiness

Answer honestly. A "Yes" answer does not automatically disqualify you, but XJ Fit may request medical clearance before programming begins.

Current or previous injuries

Medical conditions

Current medications

Doctor or physical therapist restrictions

1. Has a healthcare professional told you that you have a heart condition or uncontrolled high blood pressure? *

No Yes

2. Do you experience chest discomfort at rest or during normal activity or exercise? *

No Yes

3. Have you had unexplained dizziness, fainting, or loss of balance? *

No Yes

4. Do you have a diagnosed chronic condition that may affect exercise participation? *

No Yes

5. Do you have a bone, joint, muscle, or nerve issue that exercise could worsen? *

No Yes

6. Are you taking prescription medication that may affect heart rate, blood pressure, balance, or exercise tolerance? *

No Yes

7. Is there any other reason you may need medical guidance before increasing physical activity? *

No Yes

05 · Nutrition and Lifestyle

Dietary style, food preferences, or nutrition challenges

Food allergies or intolerances

Meals per day

Water per day (oz)

Average sleep (hours)

Current stress level (1-10)

Average daily steps

Best way to contact you *

Preferred check-in day *

06 · Confirmation and Signature

I confirm that the information I provided is accurate and complete. *

I understand that coaching and exercise involve physical effort and that this application is not medical advice or a guarantee of acceptance. *

I consent to XJ Fit using this information to review my application, contact me, and provide coaching services if accepted. *

Type your full legal name as your electronic signature *

Submitting this form sends a coaching application for review. Your client account is created only after XJ Fit approves the application.