Appointment – Nipun Jain Fitness

Get Appointment

Here’s a polished and professional version of your introductory content for the multi-step form. It’s structured, clear, and maintains your direct tone while improving readability and flow:

🚨 Read This Before You Begin

This form includes disqualifier questions to filter out non-serious candidates. Like everyone else, I have limited time—and I prefer to spend it coaching those who are genuinely committed to transforming their bodies.
If you’re not fully serious about personal training and achieving real results, I strongly suggest you close this page now and avoid wasting your time.

🧠 Personalized Approach, Not Outsourced Work

I, Nipun Jain, handle every aspect of coaching myself. I do not outsource any fitness-related work to assistants or staff. As a result, it may take up to 72 hours for me to respond to your submission. Each form is treated uniquely—because every person is different. Your response will be just as personalized as your training program.

💬 I Don’t Sell—My Work Speaks

I dislike pushy sales tactics. I won’t cold-call you just because you dropped your contact info. Instead, I ask you to fill this entire form—or at least attempt to.
This saves time on both ends. If you have doubts or confusion, please first check the FAQ section. Still need help?
📞 Call me at +91-9899493911
📧 Email me at sales@nipunjainfitness.com

Note: The FAQ was personally written by me. If your question is already answered there, I won’t be thrilled to repeat myself over call or email.
However, if you ask something that deserves to be added to the FAQ, I’ll gladly give you a 10% discount on your coaching plan.

📝 About This Form

This form contains ~40 questions designed for detailed screening.
Most are multiple-choice (Yes/No style) and easy to answer.
Some are descriptive, but if you’re not comfortable writing, you may answer briefly or leave them blank—we’ll discuss those during the initial consultation.
Average time to complete: ~25 minutes
🔒 This is strictly for serious applicants only. If you’re not one of them, please exit now.

🚶‍♂️ Prefer an In-Person Signup?

You’re welcome to walk into my clinic instead of filling this form.
Just email me at nipun@nipunjainfitness.com to book a slot.
A face-to-face consultation will cost ₹5,000, which will be adjusted against your coaching fee if you sign up.
Payment is expected in full—no part payments accepted. Please note, no assistants or evaluations will be provided unless you’re a confirmed client.

💰 Coaching Fees (Updated in Real-Time)

Fees are shared upfront to avoid surprises. If these packages are out of your budget, kindly don’t proceed further.

Prices may vary based on demand and my current workload. If fees remain unchanged, you may be placed on a waiting list (up to 10 days). I do not offer priority slots for extra payment, but if your reason is genuinely urgent, I may choose to accommodate.

Coaching Plans:

Muscle Gain (with minimal fat gain): ₹22,000 for 12 weeks
Fat Loss with Muscle Retention (Most Popular): ₹22,000 for 12 weeks
Express Fat & Weight Loss: ₹25,000 for 12 weeks
Superhero Physique (Advanced Muscle Gain): ₹30,000 for 12–16 weeks

Fill the Form

Assuming you have no doubts about the training and it aligns with your goals, when do you plan to sign up and begin your transformation? Please choose the earliest applicable time frame from the options below.

Basic Information (So that I know how to contact you)

Please upload Three Pics of you - Front, Back, and Side:

What’s your dream physique?

What’s your top goal for the next 12 weeks of coaching?

Muscle/Weight Gain (even if some fat is gained) Fat/Weight Loss (even if some muscle is lost) Lean Muscle Gain (with minimal fat gain) Pure Fat Loss (while preserving muscle) Other (please specify)

Enter fresh, accurate body measurements (largest circumference); use Google or a tailor if unsure

Why are you signing up? (Be honest—your reason drives your commitment. Example: wedding, health scare, confidence, personal goal, etc.)

How did you hear about my training? (Select all that apply)

Do you rely on an alarm or feel forced to wake up? Do you feel fresh and alert upon waking?

Wake up with alarm, feel sleep deprived Wake up with alarm, but feel fine Wake up naturally, feel fresh Wake up naturally, but feel exhausted Other (please specify)

How many hours of sleep do you get each night?

4–5 hours 6–8 hours I don’t track sleep; I wake up whenever I feel like

Have you ever dropped out of an exercise program? If yes, why? (e.g., too hard, poor guidance, lack of results, embarrassment, etc.)

Are you currently working out?

How long have you been working out? (in months/years) Was it consistent or on and off?

What is the time you workout?

Briefly describe your current workout routine (if any) and basic lifts to show your strength. Example: “Full body workouts 3x/week. Bench press 30kg x10, Deadlift 60kg x10.”

What’s the maximum time you can easily commit to workouts? (Programs will be designed to fit this time.)

2 Hours a Day, Six Days a Week 2 Hours a Day, Five Days a Week 2 Hours a Day, Three Days a Week 1 Hour a Day, Six Days a Week 1 Hour a Day, Five Days a Week 1 Hour a Day, Three Days a Week Other (please specify)

Can you manage two shorter workouts a day instead of one long session?

Yes, I can easily work out twice a day Only if necessary No, I can’t do twice-a-day workouts Other (please specify)

Have you ever experienced any of the following: stroke, heart attack, seizures (epileptic/non-epileptic), mania, psychosis, OCD, or similar conditions?

None Yes (please describe below)

Have you ever had any bone, muscle, or joint injuries—or are you currently dealing with one?

No Yes (please describe below)

Do you currently use—or have a history of using—recreational substances (e.g., alcohol, cigarettes, marijuana, etc.)?

Do you have any medical conditions to consider? (e.g., diabetes, hypertension, PCOS, etc.)

Are you currently on any medications? Have you taken any in the past (e.g., corticosteroids) that caused weight gain? Please specify.

Have you ever worked with a personal trainer, a nutritionist, or both?

Personal Trainer Nutritionist Both None

If yes, briefly describe your experience. If it was good, why didn’t you continue with them? If not, what was lacking that brought you to me instead?

What are your expectations from this program? (e.g., kilos/inches to lose or gain, dress size goal, etc.)

Have you tried dieting before? If yes, what derailed you? Was it too strict, too flexible, or didn’t fit your routine? Also, do you think you're self-disciplined (Type B) or need structure and pressure to stay on track (Type A)? Be honest—results matter most.

Please describe your full daily routine, including meal timings and what you eat. Example: 6:00 AM wake up → 6:30 AM breakfast (2 eggs, fruit, milk) → 9:00 AM leave for work → 10:00 PM sleep.

Have you ever used anabolic steroids? If yes, list the cycles, duration, and drugs used. Also, were the results worth the health risk—or did you feel it was a waste of money?

Do you currently have any supplements left? I’ll suggest only what’s needed—if what you have is safe, we can use it up, but you won’t need to repurchase anything unnecessary.

Do you eat very few or no fruits/vegetables? If yes, list the ones you avoid or dislike.

If you're vegetarian, are you okay with supplements like softgel capsules (e.g., fish oil) made from animal products?

Yes, I can consume them No, I would prefer an alternative

Please select the option that best describes your diet:

Vegan (no animal products) Lacto Vegetarian (milk products only) Lacto-Ovo Vegetarian (milk and eggs, no meat) Non-Vegetarian (eats everything)

If you follow Lacto-Ovo or Non-Vegetarian but avoid eggs/chicken at home, please specify below.

If you eat eggs or meat, do you avoid them on specific days (e.g., Tuesdays, Saturdays, etc.)?

Yes No Other (please specify)

Select all egg-based meals you're comfortable eating daily: (Lacto Vegetarians may skip this question)

Select all milk products you're comfortable including in your daily diet: (Vegans may skip this question)

Please select all legumes and lentils you are comfortable adding to your diet on a daily basis.

Select a Package Based on Your Goal Pricing is non-negotiable; no part payments. Renewal within 1 week = 20% off. Exceptional results = up to 50% off. No referral discounts. Payment instructions will be emailed manually within 72 hours after form review.

Fat Loss with Muscle Gain – ₹22,000 (Most Popular) Accelerated Fat Loss Package – ₹25,000 (Aggressive Approach) Superhero Physique Method – ₹30,000 (Gear Consult Complimentary) One-Time Consult (<30 min Call/Meeting) – ₹5,000

Please mention any special requirements. Fee will be quoted based on time and effort involved.

Contact Information if you need a callback?

I have read, understood, and agree to the Coaching Terms & Privacy Policy.