New Client Consultation

New Client Consultation
Name*

First NameLast Name
Email*
example@example.com
Phone Number*
Please enter a valid phone number.
Date of Birth*

MonthDayYear
Date
Gender*
Height*
Weight*

Occupation
What is your occupation?*
What is your work activity level?*

SedentaryMildly ActiveActiveVery Active
Does your occupation require extended periods of sitting?*

YesNo
Does your occupation require repetitive movements? *

Health
Do you have any current injuries or medical conditions?*
(e.g., back pain, joint issues, heart conditions)
Are you currently on any medications?*
Have you had any surgeries or major injuries in the past?*
Do you ever feel pain in your chest when you do physical activity?*

YesNo
Do you lose your balance because of dizziness or do you ever lose consciousness?*

YesNo

Training
How would you explain your fitness level?*

BeginnerIntermediateAdvanced
What does your current workout routine look like?*
What does your historical recovery ability look like?*

Rarely sore more than 1 day after trainingOften sore 1-2 days after trainingOften sore 2 days after trainingOften sore 3 days after training
How many days a week do you prefer to train? (what days)*

Goals
Why do you want to train?*
What are your primary fitness goals?*
Why would you like to hire a coach to work towards these goals?*
What are your biggest obstacles when it comes to staying consistent with exercise?*
What has worked or not worked for you in the past?*
Should be Empty: