One-on-One Nutrition Coaching Application
Thank you for your interest in 1:1 coaching! This application will be a guide so I can learn more about you and see if we would be a good fit to work with each other. Please be as detailed as possible. I will get back to you within 24 hours!
Name
First Name
Last Name
Email
example@example.com
Age
Height
Weight
Gender
Female
Male
Goals
Fat Loss
Build Muscle
Maintain
Healthy relationship with food
Lifestyle change
What do you do for work? What are your hobbies? What does a day in the life look like for you?
Please elaborate on your goals. What would you like to achieve in the next 12-16 weeks?
What is your current workout routine? Please list how many days a week. Duration of the sessions and intensity level. How long has this been your routine? How consistent are you?
What are your current nutrition habits? What does a day of eating look like for you? Have you counted calories or macros before?
What is your dieting history? What has worked for you in the past? What has not worked for you in the past?
What are your biggest challenges towards getting to your goals?
Please provide averages: steps/day, hours of sleep, ounces of water, stress level 1-10 (10 being most stressed), overall daily mood 1-10 (10 being unhappy).
Do you have any underlying medical conditions, food allergies or dietary restrictions?
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