Clone of Client Intake Form12-WEEK WOMEN'S BODY RECOMPOSITION COACHINGStronger Habits. A Stronger You.

Stronger Habits. A Stronger You.
ABOUT YOU :

Let's start with the basics.
Full name

First NameLast Name
Age
Height
Current weight
Occupation
Where will you primarily train?
How many days per week can you realistically strength train?
2️⃣ YOUR GOALS

Help me understand what you want to achieve.
What is your #1 goal for the next 12 weeks?
Select all that apply:

Other
Why is this goal important to you right now?
What has stopped you from reaching it in the past?
If we reach Week 12 and you say, "This was absolutely worth it," what would have changed?
3️⃣ TRAINING

Tell me about your current workout routine.
How would you describe your strength training experience?
How many days are you currently training?
Briefly describe your current workouts (type, duration, etc.).
Are there any injuries, pain, surgeries or exercise restrictions I should know about?
4️⃣ NUTRITION

Tell me about your current eating habits.
Briefly describe a typical day of eating.
Do you currently track calories/macros?
If yes, approximately how many calories and grams of protein?
Any food allergies, intolerances or foods you avoid?
Foods you LOVE and would like to keep in your diet?
How often do you eat out or order food?
5️⃣ LIFESTYLE

Help me understand your daily routine.
Average hours of sleep per night?
How would you rate your stress level right now?
Do you currently do cardio? If yes, what type and how often?
6️⃣ COACHING

Let's make sure this is the right fit for you.
What do you need most from me as your coach?

Other
What usually causes you to fall off track?
How committed are you to the next 12 weeks?
Is there anything else you'd like me to know?
Thank you! I'm so excited you're here. The more honest and detailed you are, the better I can support you.
LET'S DO THIS TOGETHER.
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Stronger Habits. A Stronger You.

ABOUT YOU :

2️⃣ YOUR GOALS

3️⃣ TRAINING

4️⃣ NUTRITION

5️⃣ LIFESTYLE

6️⃣ COACHING