Initial Assessment Questionnaire

Write your concerns/goals*
Out of all of the above concerns, which ones feel most important / urgent?*
Tell me why
What do you expect from me as your coach?*
What are you prepared to do to work towards your goals?*
What are some of your *non negotiables*? Be honest - we all have some things we aren't willing to change yet.*
What do you want to change?*
What are your hindrances (if any) to losing weight, eating better, or falling short of your goals?*
What weight loss programs/diets have you participated in over the last 10 years?*
Which of those things worked well for you?*
(Even if you might not be doing it right now.)
Which of those things didn't work well for you?*
How, specifically, would you like your habits, your health, your eating, and / or your body to be different?*

About You