Client Name (legal name not necessary on this form PREFERRED NAME is fine)
First Name
Last Name
Birth Date
-
Month
-
Day
Year
Date
Email or phone number for contact
example@example.com
Please describe your fitness goals and what you hope to gain from being coached
Please describe any history of disordered eating or exercise patterns
Please describe any past or current health issues or injuries that may affect your training
Please describe your previous experience in the gym - how confident would you say you are?
What experience or knowledge do you have with flexible dieting/macro counting, or any form of nutrition tracking?
Describe your periods - heavy/light/regular/irregular etc
Are you currently on any form of birth control?
Describe your digestion - do you poop every day?
How much water would you estimate you drink per day?
Is there anything else you'd like me to know before we meet?
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