New Client Questionnaire

Name

First NameLast Name

Email

example@example.com

Phone Number

Format: (000) 000-0000.

Please enter a valid phone number.

Instagram Handle

Weight - As of today

Age

Height

Average hours of sleep per night ?

Rate your sleep quality.

1- Toss and turn constantly/ wake up often 10-sleep straight throughout the night

How would you describe your level of activity at work?

What's your occupation?

Socially, describe your average week - Do you go out often? Movies? Fast food/restaurants? Stay in?

What do your weekends look like?

Fitness Goals

Secondary Goals? (Select 1-2)

Least Important?

What are your short term goals? What do you want to achieve in the next 4-8 weeks?

What are your long term goals? What do you want to achieve in the next 4-12 months? (EX. Goal weight, squat a certain weight, etc.)

How determined are you to make a change? Describe your motivation and share why you are looking to take this step

Fitness History

Are you currently strength training? If no, proceed to the questions after the following;

How many days a week do you currently weight train?

How many days a week do you do cardiovascular specific activity?

What is your ideal workout duration?

What type of training programs have you used in the past?

How many meals are you eating per day?

Do you prepare majority of your meals?

Are you currently following a specific diet or nutrition plan? If yes, please describe.

Describe your alcohol consumption- amount, frequency, types of drinks you enjoy.

What is your biggest struggles related to dieting/nutrition? Sweet tooth, travel schedule, etc.

Have you ever had an eating disorder or thought you may have an eating disorder?

Do you have any food allergies? If so, please list them.

Equipment Availability - Check everything you have access to!

Anything else you feel like sharing, please do so below!!!

Preferred method of contacting

Thank you! I will contact you through your preferred method at my earliest convenience to further discuss your goals in depth, coaching prices, and we’ll come up with a plan for success! I appreciate your interest in wanting to work with me and I look to forward to having you on the team!