CFL Nutrition Club Intake Form
This form will ask for your reason for joining our club and will be discussed with you in a meeting with a Coach.
Name
First Name
Last Name
Email
example@example.com
Date
-
Day
-
Month
Year
Date
What’s your preferred Progress Metric you’d like to track? Tick all that apply.
Fitness
Clothing (How it fits)
InBody (Fat Mass)
InBody (Muscle Mass)
Progress Pictures
Measurements
All of the above
Why do you want to join the CFL Nutrition Club? Tick all that apply.
To build more muscle
To lose some body fat
To get stronger
To learn more about Health and Nutrition
To be better with my food in general
To improve my performance in my workouts
To build some confidence
To spend time with like minded people
To build better habits
To improve my mindset
To see more results
To have more accountability
Other
State a short term goal you would like to achieve (in less than 3 months)
Try and be specific and realistic!
State a LONG term goal you would like to achieve (in more than 3 months but less than a year)
Think about this one!
Why are the goals you mentioned above important to you? What will change in your life when you achieve them?
Rate your current sleep habits? 1 = Poor
1
2
3
4
5
1 Star being poor and 5 Stars being great.
Rate your current eating habits? 1 = Poor
1
2
3
4
5
1 Star being poor and 5 Stars being great.
Rate your current stress levels: 1 = Poor
1
2
3
4
5
1 Star being poor and 5 Stars being great.
What areas do you feel you need to work on most?
Nutrition
Stress
Sleep
Exercise
Emotional Wellbeing
Support System
Lifestyle
Accountability
Goal Setting
Habits / Routines
Mindset
Other
Have you done an InBody Scan before?
YES
NO
Have you ever had an Nutrition Coach before?
YES
NO
Did you purchase your Nutrition Club Subscription yet? Available on the Members App & Members Area!
*
Yes
Not Yet. Please add it for me for it to be paid on the 14th of the Month
No, I'm unsure yet
Contact me about this
Anything else you'd like to add or mention?
Submit
Should be Empty: