Client Application form
Name
*
First Name
Last Name
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email
*
example@example.com
Age
Gender
Height
Weight(Morning weight)
What are your goals? Build muscle, lose body fat or become healthier?
What is your reason you want to achieve this goal?(In your own words)
Do you work?
If yes, what is your job?
Is your job active?
How do you get to work?
Commute
Drive
Cycle
Walk
Would you consider yourself fit and healthy?
Do you enjoy going to the gym?
Have you full accessibility to a gym or equipment?
How many days per week would you be able to work out?
Do you enjoy any type of cardio?
Have you ever done a nutrition plan before?
Have you any allergies?
What foods do you like to eat?
What foods do you dislike to eat?
How many steps average per day would you take?
What’s the main reason that is holding you back from reaching the goal you desire?
How many hours sleep average would you get per night?
Do you drink alcohol? If yes, how often?how much?
Have you any medical issues?
Have you had any injuries before?
Where have you came across my services?
Social media
Friend
Business card
Back
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Are you in a Gym? If yes, what gym?
Submit
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