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Coaching Questionnaire

Coaching Questionnaire

I look forward to working with you but first let's dig into a few things.
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    Pick a Date
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    • Weight Loss and Fat Loss
    • Maintain Weight and Lose Body Fat
    • Gain Weight and Muscle
    • It's Complicated
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    On the next page you will asked questions about your exercise and dailiy activity outside of your exercise.  I want to share how the rating scale works so that you can most accurately input the proper numbers.  

    How Many Days a Week Do you Workout?  -  Exercise days would be any day you do purposeful movement to improve your strength or health.  Exercise activities would include things like attending classes at a gym, having a structured workout at home or gym, crossfit class, swimming, biking at a higher intensity, running, yoga.  Typically I would include walking or casual biking to be exercise.  If you walk with the intent of increasing your heart rate or carry dumbbells or it pushes you physically then you could include it.  

    How Intense are your workouts? - The scale here is 1 - 4 with .5 increments.  1 would be exercise that is very casual, you can easily hold a conversation, your heart rate stays low, and you likley don't break a sweat or fatigue your muscles.  The 2-3 range would be where your heart rate increases to the point where you talk but not that well, muscles are fatigued but not completely exhausted.  4 would be exercise at a level that you can't talk, your muscles can't do 1 more rep, your heart rate reaches your maximum heart rate level, and the duration was for 30+ minutes.  

    How active are you outside of your workouts? - The scale here is 1 - 4 with .5 increments.  1 would mean you are sedentary for most, if not all of the day.  You have a desk job, a long commute, and when you are home you do minimal activity.  2-3 range would mean you have walk in the 5-10k step range, you do a decent amount of housework, you maybe chase kids around, or are on your feet all day.  4 would mean you are doing heavy physical labor a majority of the day or getting 20k+ steps outside of your exercise.  

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    This number is calculated based on your previous inputs do not change. If you feel you need a different number add it in the notes section at the end of the form.
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    On the next page you will asked questions about your exercise and dailiy activity outside of your exercise. I want to share how the rating scale works so that you can most accurately input the proper numbers.

    How Many Days a Week Do you Workout? - Exercise days would be any day you do purposeful movement to improve your strength or health. Exercise activities would include things like attending classes at a gym, having a structured workout at home or gym, crossfit class, swimming, biking at a higher intensity, running, yoga. Typically I would include walking or casual biking to be exercise. If you walk with the intent of increasing your heart rate or carry dumbbells or it pushes you physically then you could include it.

    How Intense are your workouts? - The sale here is 1 - 4 with .5 increments. 1 would be exercise that is very casual, you can easily hold a conversation, your heart rate stays low, and you likley don't break a sweat or fatigue your muscles. The 2-3 range would be where your heart rate increases to the point where you talk but not that well, muscles are fatigued but not completely exhausted. 4 would be exercise at a level that you can't talk, your muscles can't do 1 more rep, your heart rate reaches your maximum heart rate level, and the duration was for 30+ minutes.

    How active are you outside of your workouts? - The sale here is 1 - 4 with .5 increments. 1 would mean you are sedentary for most, if not all of the day. You have a desk job, a long commute, and when you are home you do minimal activity. 2-3 range would mean you have walk in the 5-10k step range, you do a decent amount of housework, you maybe chase kids around, or are on your feet all day. 4 would mean you are doing heavy physical labor a majority of the day or getting 20k+ steps outside of your exercise.

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    This number is calculated based on your previous inputs do not change. If you feel you need a different number add it in the notes section at the end of the form.
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    Describe the frequency and type of workouts you do regularly.
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    This includes how strenuous your job is, how many steps you get in, are you on your feet all day, etc
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    Click the image that most closely resembles your physique
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    Click the image that most closely resembles your physique
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    1 = no experience, 10 = multiple years of experience
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    Describe any current practices that you are doing to manage your weight/physique. Have you had large weight fluctuations within the last 5 years? Have there been ways of eating that have seemed to have worked better for you?
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    Describe any medical conditions that would be pertinent to your metabolism and overall health.  For example things like diabetes, heart disease, stroke, hypothyroidism, severe weight gain/loss, gastric bypass, etc.
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