This form helps me build your plan around you.The more detail you give, the better I can tailor everything to your lifestyle, training and goals.
CLIENT PROFILE
FULL NAME
DATE OF BIRTH.
EMAIL
MOBILE NUMBER
HEIGHT (FT)
WEIGHT (KG)
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CURRENT PHYSIQUE
FRONT FACING
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Good lighting, relaxed stance
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SIDE FACING
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Good lighting, relaxed stance
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REAR FACING
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Good lighting, relaxed stance
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LIFESTYLE ANALYSIS
What have you tried in the past with your Fitness and Nutrition Goals?
What does a typical day in the life look like from the minute your alarm goes off till you get into bed.
How many hours of sleep do you roughly get per night?
Please Select
5 - 6 Hours
6 - 7 Hours
7 - 8 Hours
8 Hours +
Any daily habits you currently have within your routine?
Is there any daily habits you would like to add into your routine?
How many steps do you average per day? (If Known)
Please Select
<5k
5–8k
8–10k
10k+
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CURRENT NUTRITION
Current Daily Calories? (If known)
Current Macro Nutrient Targets? (If Known)
Have you tracked Calories before? (YES/NO)
YES
NO
If "YES" How do you track them? (MyFitnessPal, Cronometer, Other)
MyFitnessPal
Cronometer
Other
If chosen other, please elaborate?
Have you ever been diagnosed with an eating disorder? (YES/NO)
YES
NO
If "YES" give me detail if possible?
How many litres of water do you consume per day?
Provide me with detail on your current alcohol intake?
Provide me with detail on your current Caffine intake?
Please state any daily supplements your taking?
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CURRENT TRAINING
Current style of training?
Any styles of training you'd like to adopt?
What is the name of your current gym?
Please state any Current/Past Injuries?
Are you currently taking any prescribed medication? if so, what for?
Do you currently wear a tracker? (Garmin, Whoop, AppleWatch)
YES
NO
Do you have any previous experience playing sports?
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FINAL THOUGHTS
Is there anything else you feel I should know before we get started?
Appreciate you taking the time to fill this out.
I'll go through everything and come back to you with a full breakdown and next steps.
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