Client intake Questionnaire
Answer to your best ability, this is a way to help me learn more about you and personalize a plan fit for you!
Full Name
*
Email Address
*
Age
*
Height & weight
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Primary fitness goal
*
* Secondary goal (if any)
*
* Why is this goal important to you *right now*?
*
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How long have you been training?
*
Current training split (if any)
*
Equipment available (gym/home)
*
Current injuries or pain?
*
* Past injuries to be aware of?
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Typical day of eating
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* Biggest nutrition struggle
*
* Sleep (hours per night)
* Stress level (1–10)
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How many days per week can you train?
*
* Preferred training days
*
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
* Exercises you love / hate
*
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What has stopped you from succeeding in the past?
*
* What kind of accountability helps you most?
*
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Anything else I should know to coach you better?
*
Are you comfortable paying $250 a month? *This is an investment in yourself, I do recognize it is not necessarily cheap. I am confident it will be worth every penny!
*
Pay $250 monthly/ 3 months total $750
I am not ready to make this investment
Pay in full
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