New Lifestyle Client Application
Name
First Name
Last Name
Email
example@example.com
Height
feet' inches"
Weight
Pounds
How often do you weigh yourself? How important is that number on the scale?
Be honest.
What are your short term fitness goals (in the next 8-12 weeks)?
please be as specific as possible
What are your long term fitness goals (in the next 1-5 years)?
Long term results require long term goals
What are you looking for in a coach?
Please be as specific as possible - this is to insure that we are a good fit.
Have you ever had a coach/trainer? If you have, tell me about that.
What do you like to do for yourself?
Why did you reach out for more information? What brought you to this page?
The following questions will be beneficial for me to know if we find that we are a good fit...
Are you currently working out?
yes
no
kind of?
If you are (yes/kind of) working out, what plan are you following/what are you doing?
Please be as specific as possible.
Will you be working out at home or at a gym?
If you are working out at home - please explain your home gym equipment.
You are REQUIRED to have access to the following: dumbbells of varying weights, as well as exercise bands and an exercise ball or bench - if you do not have this equipment you will need to either purchase this equipment or get access to a gym.
Do you understand counting macros (IIFYM)? Are you currently counting macros?
it's OK if the answer to this is no.
Do you understand that tracking your macronutrients and weighing your food is required as part of this nutrition plan?
yes
no
Have you ever had an eating disorder (diagnosed)? Do you deal with disordered eating patterns such as restrict/binge, extreme low carb, high carb, etc? Please tell me about this - there is no judgement here. Honesty and openness is essential to a good trainer/client relationship.
Do you have any injuries/medical conditions I should know about? Please explain.
Are you pregnant?
Are you nursing?
What does a "normal" food day look like for you?
Are you low carb/no carb?
Please understand that I will not give you a low/no carb diet.
Does your significant other/family support your health and fitness goals?
Submit
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