Client Assessment & Consultation Form
Let's briefly evaluate your fitness, nutrition, mindset, and lifestyle needs and goals for personalized coaching. We can discuss these further at our consultation.
Full Name
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First Name
Last Name
Instagram
Phone Number
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Please enter a valid phone number.
Email
example@example.com
How can I support you?
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Fitness Coaching/ Personal Training
Competition Prep Coaching
Consulting
Nutrition
Mindfulness & Habit Coaching
Yoga
Other
If 'Other' selected above, please specify:
Do you have an upcoming competition?
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Please Select
Yes
No
Competition Date:
-
Month
-
Day
Year
Date
Competition Name/ Location
Specific Needs, Goals or Desired Focus Areas
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Expected Benefits & Timeline
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Previous Experience with Fitness or Coaching
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None
Beginner
Intermediate
Advanced
Seriousness and Commitment Level
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Casual
Moderate
Highly Committed
Willingness to Make Lifestyle Changes
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Not Willing
Somewhat Willing
Very Willing
Self-assessed Likelihood of Success
Low
Medium
High
Current Mindset Regarding Fitness and Lifestyle
Medical Conditions, Injuries or Physical Limitations
Key Motivations. What is your WHY?
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Do you have any questions, comments, or information you would like me to be aware of prior to our consultation?
Free Virtual Consultation with Coach Meghan
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