Before We Begin

Pre-Session Holistic Wellbeing & Readiness Assessment

To provide you with the most effective and safe coaching experience, please complete this brief assessment. As a psychologist, my priority is to align our physical activity with your current neurological and physiological state.

Confidential Assessment
01

Physical Baseline & Recovery Markers

Understanding your current physical recovery and energy.

1 — Poor / Restless 10 — Excellent / Restorative
1 — Completely exhausted 10 — Fully energized
02

Mental & Emotional Load

Burnout screening and current psychological load.

1 — Not at all 10 — Completely overwhelmed
1 — I cannot disconnect 10 — I disconnect perfectly
03

Relationship With Movement

Understanding your motivation, activity and relationship with exercise.

04

Logistics & Environment

The "Brussels Factor" — making the practical side work for you.

05

Your Details

So we can follow up with you after your assessment.

Confidentiality: The information you provide is intended to help inform the preparation of your coaching session. Please do not use this form for emergencies or urgent medical concerns. Any specific privacy, data-retention and professional confidentiality arrangements should be described in your site's Privacy Policy and client documentation.

Assessment Received

Thank you for getting in touch. We will contact you soon through your preferred channel.