JCS Performance - Lifestyle and Bodybuilding

Tell us a little about yourself

Full name
Full name
Email address
Email address
Phone number
Phone number

What is your age range

Under 18

18-24

25-29

30-34

35-39

40-44

45-49

What is your gender?

Male

Female

Prefer not to say

Self-describe

What best describes your current occupation?

Student

Office worker

Self-employed

Healthcare worker

Teacher

Athlete

Management

Unemployed

Retired

Other

Which best describes your primary coaching goal right now?

Fat loss

Muscle gain

Recomposition

Prepare for a bodybuilding or physique competition

Build a sustainable lifestyle

How would you describe your current training experience?

Beginner

Intermediate

Advanced

Formerly trained, currently inconsistent

I do not train regularly

How many days per week do you currently train?

1-2 days

3 days

4 days

5 days

6 or more days

None

What type of training do you primarily do?

Bodybuilding / Hypertrophy training

Cardio-based training

Hybrid / Mixture of Cardio and weights

I currently do not have a training routine

Do you currently have any injuries, pain, or physical limitations that affect training?

Yes

10.

If yes, what injuries? past or ongoing?

11.

Have you worked with a coach before?

Yes, currently

Yes, in the past

No, never

12.

How ready do you feel to commit to this coaching process?

Very unready

Very ready

13.

How likely are you to fully follow a structured coaching plan if it fits your lifestyle?

14.

How important are the following outcomes to you?

	Not important	Slightly important	Moderately important	Very important	Extremely important
Lose body fat
Lose body fat
Build muscle
Build muscle
Improve strength
Improve strength
Improve energy levels
Improve energy levels
Increase confidence
Increase confidence
Improve health markers
Improve health markers
Perform better in sport
Perform better in sport
Develop better habits
Develop better habits

15.

Please rank your top three priorities for the next 3 months

[Choose all itemsand sort them]

Fat loss
Muscle gain
Strength improvement
Consistency
Energy and recovery
Nutrition habits
Stress management
Confidence

16.

How confident are you in each of the following areas right now?

	Very low	Low	Moderate	High	Very high
Training consistency
Training consistency
Nutrition consistency
Nutrition consistency
Meal planning
Meal planning
Sleep quality
Sleep quality
Stress management
Stress management
Daily activity level
Daily activity level

17.

How would you divide your main focus right now?

Training

Nutrition

Sleep

Stress management

Lifestyle habits

18.

How many meals do you usually eat per day?

5 or more

19.

How often do you eat out or order takeout?

Rarely or never

1-2 times per week

3-4 times per week

5 or more times per week

20.

Which best describes your current nutrition approach?

No structure

Trying to eat healthier

Tracking calories

Tracking calories and macros

Following a meal plan

I am not sure

21.

Which dietary preferences or restrictions apply to you?

[Checkboxes]

No restrictions

Vegetarian

Vegan

Lactose intolerant

Gluten free

Allergies

Other

22.

How consistent are you with the following nutrition habits?

	Not consistent	Slightly consistent	Moderately consistent	Very consistent	Extremely consistent
Eating enough protein
Eating enough protein
Eating enough vegetables
Eating enough vegetables
Controlling portion sizes
Controlling portion sizes
Drinking enough water
Drinking enough water
Limiting ultra-processed foods
Limiting ultra-processed foods
Planning meals ahead
Planning meals ahead

23.

How difficult are the following nutrition challenges for you?

	Not difficult	Slightly difficult	Moderately difficult	Very difficult	Extremely difficult
Cravings
Cravings
Late-night eating
Late-night eating
Emotional eating
Emotional eating
Weekend overeating
Weekend overeating
Skipping meals
Skipping meals
Lack of time to cook
Lack of time to cook

24.

How many hours of sleep do you usually get per night?

Less than 5

5-6

6-7

7-8

8-9

More than 9

25.

How would you rate your average stress level?

Very low

Low

Moderate

High

Very high

26.

How active is your job or daily routine?

Mostly sedentary

Lightly active

Moderately active

Very active

27.

How many steps do you usually get per day?

Less than 3,000

3,000-5,000

5,000-7,500

7,500-10,000

More than 10,000

Not sure

28.

How well do the following lifestyle habits support your goals?

	Not supportive	Slightly supportive	Moderately supportive	Very supportive	Extremely supportive
Sleep routine
Sleep routine
Work-life balance
Work-life balance
Stress recovery
Stress recovery
Hydration
Hydration
Daily movement
Daily movement
Weekend routine
Weekend routine

29.

Which of the following have you experienced in the past 12 months?

[Checkboxes]

Weight regain

Low energy

Poor sleep

Digestive issues

Low motivation

Inconsistent training

Stress eating

Plateau in progress

No major issues

30.

What is currently the biggest barrier to reaching your goals?

Time

Motivation

Stress

Knowledge

Inconsistency

Injury or pain

Budget

Travel or schedule changes

Other

31.

Which time of day is easiest for you to train?

Early morning

Late morning

Afternoon

Evening

Varies too much to say

32.

What kind of support do you prefer from a coach?

Clear structure and accountability

Education and explanation

Flexible guidance

Frequent check-ins

A mix of everything

33.

What inspired you to reach out to me specifically, and what would a successful coaching experience look like for you

34.

What would success look like for you in 3 months?

35.

Is there anything else you would like your coach to know about your background, challenges, or preferences?

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