Client Intake Form

Client Intake Form for 1:1 online coaching

The first step on choosing YOU
Name

First NameLast Name
Age
Weight
Height
Email
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Welcome

Welcome! First, I want to say how proud I am of you for taking this step toward becoming the healthiest, strongest version of yourself.Because I believe in giving my clients the time, attention, and support they deserve, I only accept a limited number of coaching clients at a time. This application helps me determine who is truly ready to commit to the process and make lasting changes.Coaching is more than just workouts and meal plans. It requires consistency, communication, and a willingness to show up for yourself even when motivation isn’t there.If you’re ready to stop starting over and finally invest in your health, fill out the questions below as honestly and thoroughly as possible. I can’t wait to learn more about you and your goals.
Current Fitness & Nutrition
What are your top 3 fitness goals over the next 6-12 months
What does your current workout routine look like? (Days per week, type of training, cardio, etc.)
Walk me through a typical day of eating.
Commitment & Mindset
Why is now the right time for you to make a change?
Why do you want me as a coach?
What is your WHY for change?
What has stopped you from reaching your goals in the past?
On a scale of 1-10, how committed are you to achieving your goals?
What are you willing to change or sacrifice in order to reach your goals?
What does success look like for you six months from now?
Coachability & Accountability
When life gets busy, what usually happens to your fitness and nutrition habits?
If I give you a plan, how confident are you that you'll follow it consistently for the next 12 weeks?
Why should I choose to invest my time and energy into coaching you?
Please be as detailed as possible. I am looking for clients who are ready to take action, communicate openly, and stay consistent even when motivation isn't there.

Client Intake Form for 1:1 online coaching

Welcome

Current Fitness & Nutrition

Commitment & Mindset

Coachability & Accountability