Apply Now
LKR 10,000 / month · Full coaching with daily check-ins
Please read before filling in: Submitting this form does not confirm your place. After reviewing your answers, I'll contact you with payment details. Your program will only be created after payment is completed. Personalized plans are non-refundable once prepared.
Section 1
If you answer Yes to any question below, consult your doctor before starting this plan.
Has a doctor ever said you have a heart condition and that you should only do physical activity recommended by a doctor? *
Do you feel pain in your chest when you do physical activity? *
In the past month, have you had chest pain when you were not doing physical activity? *
Do you lose your balance from dizziness or ever lose consciousness? *
Do you have a bone or joint problem that could get worse with exercise (e.g. arthritis, recent surgery, or an injury)? *
Is your doctor currently prescribing medication for your blood pressure or heart condition? *
Do you know of any other reason you should not exercise? *
Section 2
Section 3
Do you currently have any medical conditions or injuries? (e.g. heart disease, diabetes, asthma, joint problems, back pain, high blood pressure) *
Are you currently taking any medications? *
Have you had any recent surgeries or hospitalizations in the past 12 months? *
Do you experience dizziness, chest pain, shortness of breath, or severe joint pain during or after exercise? *
Are you pregnant or have you given birth in the last 3 months? *
Do you have any allergies or special dietary restrictions? *
Section 4
Section 5
Have you worked with a personal trainer or coach before? *
Section 6
Section 7
I confirm that the information I have provided is true and accurate to the best of my knowledge. I understand that my workout plan and nutrition guidance are based on this information and that no fitness professional can guarantee specific results. I also understand that I should consult a doctor before starting any new exercise or nutrition program if I have any medical conditions.I acknowledge that I am responsible for my own health and safety while exercising, and I will inform my coach immediately if any pain, discomfort, or medical changes occur.
After submitting, I'll contact you on WhatsApp within 24 hours with payment details.
Thank you for applying for 1-on-1 Coaching. I'll review your application and get in touch on WhatsApp within 24 hours to discuss next steps and payment.