Lifestyle Fitness Coaching Questionnaire

Lifestyle Fitness Coaching Questionnaire

Please fill out your personal details and any relevant health information to get started. This is a questionnaire for those who are committed to sticking to the program in order to develop healthy habits and make changes in their daily lives for a healthier and more sustainable future.
Included with Coaching:

- Custom training program

- Custom Flexible Macro Plan (Lifestyle)

- Weekly check-ins

- 24/7 access to me via WhatsApp

Keep an eye on your email as that will be the way I reach out to connect with you and provide additional information!! Sometimes the email ends up in your junk or spam folder so be sure to check those as well if it's been more than 1-2 days since applying.
Full Name

First NameLast Name
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Email Address
example@example.com
Date of Birth

MonthDayYear
Date
Height (Feet & Inches)
Days / Week You Are Training
Previous Fitness History (Optional)
Do you have any physical limitations or injuries?
Are there any medical conditions or physical / food restrictions we should be aware of?
Describe Your Fitness Goals
Liability Waiver
Appointment for Consultation Call
I am not qualified to treat or coach with clients who have current or non-treated eating disorders or undiagnosed disorders that should seek a physician's review. Do you understand and agree that you are of sound body and mind to work with a health and fitness coach?
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