Apply for Dhaliwal Fitness coaching.

Fill this out properly so I can understand your goals, lifestyle, training history, and what kind of support you need. The more honest you are, the better I can help.

Customized training and nutrition based on your real life.

Clear structure, accountability, and a plan that actually fits.

Step by step

This is your full intake form. It is broken into smaller sections so it feels easier to complete on your phone.

Step 1 of 6Personal details

Personal details

Start with the basics so I know who you are and how to contact you.

Full nameGender

Date of birthAgeHeight

WeightPhone number

Work and lifestyle

Your routine matters because your coaching plan has to fit real life, not a perfect day.

What do you do for a living?Do you follow a regular working schedule, do you work days, afternoon or nights?

Health

I need to know if there is anything important that could affect training, recovery, or nutrition.

If you have any diagnosed health problems list the condition(s).If you are on any medications, please list them.If you have any injuries, please list them.

Are you experiencing any stresses or motivational problems?

Yes No

Please rate your readiness for change

12345678910

Goals

Tell me what you want and why it matters to you.

What following goals does best fit in with your goals?

Improved Health Tone Up Increased Strength Increased Muscle Mass Fat Loss Weight Gain Build Gym Confidence

What is your goal with your training?Why?

Training background

This helps me understand where you are starting from and what kind of programming will suit you best.

Are you currently exercising?

Yes No

Have you trained with a personal trainer before?

Yes No

Media and expectations

Last section. Let me know what you are comfortable with and what you expect from coaching.

Are you okay with Progress Photos (taken personally)?

Yes Only for PT to see Only for personal tracking No

What are your expectations on me as your Personal Trainer?

Take your time and answer properly. All fields marked with * are required.

Customized coaching. Real structure. Real results.