Team AM — Client Intake Questionnaire

submission_timestamp

tier_classification

Full name* This field is required.

First Name

Last Name

Email* This field is required.We'll use this to deliver your personalized blueprint.

Phone* This field is required.Only for scheduling. We won't call without your permission.

Area Code

Phone Number

What's your primary goal right now?* This field is required.

Fat loss

Muscle gain

Body recomposition

General health and performance

Competition prep

Describe your goal in your own words.* This field is required.What does success look like to you? Be as specific as you want.

Why now? What made you decide to get coaching?* This field is required.

Do you have a specific date or deadline you're working toward?

Yes

What's the date?

Date

What's the event?

When you've tried to improve your body before, what usually happens?* This field is required.No judgment. Understanding your patterns helps me build a better plan.

Age* This field is required.

Biological sex* This field is required.

Male

Female

Height (feet)* This field is required.

Height (inches)* This field is required.

Weight (lbs)* This field is required.

How would you estimate your current body fat percentage?* This field is required.Use the reference images as a rough guide. This doesn't need to be exact.

Under 12%

12-17%

18-22%

23-28%

29-35%

Over 35%

No idea

How long have you been training consistently?* This field is required.

Less than 6 months

6 months to 2 years

2 to 5 years

More than 5 years

What does your current training split look like?

Upper/Lower

Push/Pull/Legs

Full body

Bro split

Other

Estimate your current working weights - Bench press (lbs x reps)Best recent working set, not 1-rep max.

Squat (lbs x reps)

Deadlift (lbs x reps)

How many days per week can you realistically train?* This field is required.

What time do you usually train?* This field is required.

Early morning (5-8am)

Morning (8-11am)

Midday (11am-2pm)

Afternoon (2-5pm)

Evening (5-8pm)

Late night (8pm+)

It varies

Where do you train?* This field is required.

Full commercial gym

Home gym (well equipped)

Home gym (basics only)

No equipment

Walk me through what you ate yesterday from waking up to going to bed.* This field is required.Include everything: meals, snacks, drinks, alcohol. Times are helpful but not required.

How comfortable are you in the kitchen?* This field is required.

I cook most of my meals

I cook sometimes

I mostly eat out or order in

Someone else cooks for me

Any foods you can't eat?* This field is required.

None

Dairy

Gluten

Nuts

Shellfish

Eggs

Soy

Religious restrictions

Other

How would you describe your relationship with nutrition?* This field is required.

I don't think about it much

I have a basic awareness of calories and protein

I've tracked macros before

I've worked with a nutrition coach or dietitian

Do you know your approximate maintenance calories?

Yes

If yes, approximately how many calories?

How do you currently handle weekends vs. weekdays with food?

How often do you drink alcohol?* This field is required.Most people drink more than they initially report. Be honest so we can plan around it.

Never

Rarely (a few times a month)

Weekly (1-2 days)

Multiple times per week

Daily

Do you have any current medical conditions?* This field is required.This stays between you and your coaching team.

Yes

Select all that apply

Type 2 diabetes

High blood pressure

High cholesterol

Thyroid condition

PCOS

Heart condition

Autoimmune condition

Other

Please list any current medicationsInclude dose if you know it. This helps us avoid interactions with supplements.

Are you currently taking any weight loss medications?* This field is required.

Yes, GLP-1 (Ozempic, Wegovy, Mounjaro, Zepbound)

Yes, other

How long have you been on your current dose?

Less than 1 month

1-3 months

3-6 months

Over 6 months

Do you experience any GI side effects?

None

Mild

Moderate

Severe

Do you have any current injuries or pain that affects your training?* This field is required.

Yes

Describe the injury and how it limits you

Have you ever struggled with your relationship with food or eating?* This field is required.This helps us make sure the plan supports you in a healthy way.

Sometimes

Yes, significantly

Do you make yourself sick because you feel uncomfortably full?

Yes

Do you worry you have lost control over how much you eat?

Yes

Have you recently lost more than 14 lbs in a 3-month period?

Yes

Do you believe yourself to be fat when others say you are too thin?

Yes

Would you say food dominates your life?

Yes

How many hours of sleep do you typically get?* This field is required.

Less than 5

5-6

6-7

7-8

8-9

More than 9

Rate your sleep quality* This field is required.

Rate your current stress level* This field is required.

What's your biggest source of stress right now?

Who do you live with and how supportive are they of your goals?* This field is required.Who cooks? Do you eat together? Is anyone actively supportive or resistant?

On a scale of 1-10, how ready are you to commit to this right now?* This field is required.

Is your menstrual cycle regular?

Yes, regular

Irregular

Absent

On hormonal birth control

Prefer not to say

Are you currently pregnant, postpartum, or trying to conceive?

Pregnant

Postpartum (under 6 months)

Trying to conceive

Are you experiencing perimenopause or menopause symptoms?

Yes, perimenopause

Yes, menopause

Not sure

Have you lost significant weight before? How did it go?

What's your goal weight or target body fat?Approximate is fine. We'll refine this together.

Are there specific body parts you want to prioritize?

Chest

Back

Shoulders

Arms

Legs

Glutes

Overall

How comfortable are you with gaining some body fat during a building phase?

Very comfortable

Somewhat comfortable

I'd prefer to stay lean

I'm not sure

What coaching style works best for you?* This field is required.

Direct and tell me what to do

Explain the why behind everything

Hold me accountable and check in often

Give me the tools and let me run with it

How would you prefer to do your onboarding call?* This field is required.FaceTime or phone helps me understand your situation faster, but we can make messages work too.

FaceTime

Phone call

Over messages

No preference

Is there anything else you want me to know before we get started?Anything at all. Fears, past experiences, things you're excited about, questions you have.

Confirmation* This field is required.

I confirm that the information above is accurate and I'm ready to begin the coaching process.

My Subscriptions

AM Ultra
$400.00 for each month
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AM Pro
$100.00 for each month
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AM Max
$175.00 for each month
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AM
$50.00 for each month
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First Name

Last Name