Initial Client Check In

Name*

First NameLast Name

Selected Start Date*

Date

Age, height and current weight (beginning of the day, on an empty stomach)*

Current job / hours worked per week*

What are your current goals through training with me? (Fat loss, build strength, build healthy relationships with food, etc*

Have you ever had a personal trainer or online coach? If so, how did you feel it went?*

On a scale of 1-10 (10 being daily exercise), how active do you feel that you currently are?*

On a scale of 1-10 (10 being as on track as possible), how do you feel your nutrition is currently?*

How are your current energy levels? (1-10, 10 being most energy)*

How much water do you think you drink per day?*

How many calories do you think you eat per day? It is totally OK if you have no clue -most do not before starting*

How is your gut health? (Ex. Hormonal Acne, Bloating, IBS)

Do you have any prior injuries or health conditions that I should know about?*

Are you looking to do your workouts in the gym or at home?If at home, please include what equipment you have. This can be as limited as just dumbbells at home - I just need this info to customize your workouts.*

How did you hear about me?!*

A great way to see progress is with progress photos. Please attach front, side, and back photos in underwear and a sports bra, or a bathing suit. The scale can be deceiving and discouraging so seeing physical change is much more rewarding. NO MIRROR PHOTOS - You will be glad you took real photos rather than mirror photos!

Upload Front, Side, & Back Photos here*

Name*