Online Client Enquiry

Your details

Tell us a bit about yourself so we can get in touch.

First name *

Please enter your first name.

Last name *

Please enter your last name.

Phone *

Please enter your phone number.

Email *

Please enter a valid email address.

Social media handle *

Please enter your social media handle.

What service are you most interested in (weekly $AUD)? *

Please select a service.

Training information

Help us understand your background and goals.

What are your training goals? Please outline in detail. *

Please outline your training goals.

Do you currently receive coaching?

Yes No

Have you competed before?

Yes No

Do you have an upcoming competition?

Yes No

Competition lifts — leave blank if not applicable

Weight class

Squat

Bench

Deadlift

Total

Training habits

How many days per week do you currently train?

1–3

4

5

6

7

Do you have a previous injury?

Yes No

If yes, are you open to engaging with an Exercise Physiologist at PerforMotion? *

Yes No

Please select an option.

What made you seek online coaching from PerforMotion? *

Please tell us what made you reach out.

Coach selection

Please take your time with this question. Select one first preference and one second preference. Our online coaches are all trained, mentored and supported by Kelly and Steve.

Please select a 1st and 2nd preference coach.

Coach	1st preference	2nd preference
Kelly Mann 48hr response At capacity — accepting applications
Steven Day 24hr response
Bobby Tan 24hr response
David Hoffman 24hr response
Monica de la Torre Velasco 24hr response

Outline why you want to work with each of your selected coaches *

Please outline your reasons for selecting each coach.

Outline why you think you would work well under your choices *

Please outline why you would work well with your chosen coaches.

Questions or comments

How did you hear about us? *

Please let us know how you heard about us.

Enquiry received