Client Questionnaire

First off, congratulations for taking the FIRST step into becoming a healthier/better version of yourself. I will be here to help/motivate you every step of the way during your journey. Whether you want to lose weight, gain weight, tone up, build muscle or just work on your nutrition, my goal is to make it fun and simple for you!

Trust me when I say that it will be difficult but I promise it will be WORTH it. We will do this together! You got this! Don't waste anymore time, fill out the form below and I will contact you shortly!

Name

First NameLast Name

Email

example@example.com

Phone Number

Gender

MaleFemale

What are your TOP 4 health and Fitness goals? (be specific and honest)

WHY are the above goals important to you?

What has stopped you in the past from working out and being healthy?

How many days you looking to workout?

1234+

Are you a member of a gym?

NoYes

If not a member at a gym, do you have any equipment at home? If so, what kind?

Have you worked out before? If so, what did you do?

How's your nutrition? (be honest)

Have any injuries or health issues? If so, Has your doctor ever told you not to do any physical activity?

How COMMITTED are you to changing your lifestyle?

Just want to start slowI'm ready but nervousALL IN