Online Client Enquiry

Your details

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

First name

Last name

Phone *

Please enter your phone number.

Email *

Please enter a valid email address.

Social media handle

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

Training information

Help us understand your background and goals.

State / region

Country

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

Please outline your training goals.

Do you currently receive coaching?

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

Would you like to engage one of our Exercise Physiologists?

Yes No

What made you seek online coaching from PerforMotion?

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 your preferences carefully. Entries cannot be changed once your application is submitted.

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

Questions or comments

How did you hear about us? *

Please let us know how you heard about us.

Enquiry received