justvhealthy Intake Form

justvhealthy

Sound Mind in a Strong Body
Full Name

First NameLast Name
Instagram Name
Type Instagram Name
Contact Number
Please enter a valid phone number.Format: (000) 000-0000.
Email Address
example@example.com
Located

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Age
Marital Status
How long have you been "THINKING" about getting into shape? If you've already started, when did your fitness journey begin?
What are you wanting to accomplish mentally?
Tell me your mental/emotional goals.
What are you wanting to accomplish physically?
Tell me about your physical goals.
What is motivating you to achieve your fitness goals?
What challenges you most?
Have you ever been on a nutritional plan before?
What's your relationship with food like?
Do you struggle with binge eating/stress eating/comfort eating?
Do you struggle with eating enough food?
What's your relationship with exercise like?
Have you ever worked with a trainer before? If so, explain what went well for you, and what could have been different.
Why do you want to work with me over other coaches?
Which would be best to support your needs, and schedule?
What days would be best for you to work out?
Which do you prefer?
What times are you most available for a phone call?
Do you have any questions for me?
Should be Empty: